Mary Mctigue Valid NPI

Individual provider · Family Nurse Practitioner · Chesterfield, MO

NPI

1396122578

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

2015012518 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2015-04-27

Last updated

2017-09-06