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Search › Missouri › Pediatric Nurse Practitioner

Heather Licata, PNP

NPI 1225544109 · on the registry since 2017

Practice

Address
615 S New Ballas Rd Ste 120
Saint Louis, MO 63141
Phone
(314) 251-6986
Fax
(314) 251-5712
Organisation at this address
Mercy Support Services
Pediatrix Medical Group
Mercy Labs St Louis Llc
Mercy Health Services, Llc
Kindred Hospitals East, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
767

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri