STACY WILEY, NURSE PRACTITIONER

NURSE PRACTITIONER

NPI: 1669176046IndividualAccepts Medicare

Specialties, Licenses & Credentials

Gerontology Nurse Practitioner

Nurse Practitioner — Gerontology

Code: 363LG0600X

2022044057(MO)

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

2022044057(MO)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2021

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Contact & Hours

Address: 12277 DE PAUL DR STE 403
BRIDGETON, MO 63044
Phone: (314) 738-2715

Locations (2)

Practice Location

12277 DE PAUL DR STE 403, BRIDGETON, MO

Practice Location

3933 S Broadway, Saint Louis, MO

Quick Facts

NPI: 1669176046
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 5

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