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Search › Missouri › 363LF0000X

Stacie Detmer, FNP

NPI 1235380064 · on the registry since 2008

Practice

Address
1011 Bowles Ave Ste 450
Fenton, MO 63026
Phone
(314) 467-1500
Fax
(314) 467-1515
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-21

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