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THEERARAT THANAVARO
Adult Health Nurse Practitioner
NPI: 1265823074IndividualAccepts Medicare
Specialties, Licenses & Credentials
Adult Health Nurse PractitionerPrimary
Nurse Practitioner — Adult Health
Code: 363LA2200X
2014015283(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2013
Contact & Hours
Via practice · 2 locations total
- Address
- 300 MEDICAL PLZ STE 150
LAKE ST LOUIS, MO 63367 - Phone
- (636) 625-2662
Quick Facts
- NPI
- 1265823074
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 13
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