SearchMissouri363LG0600X

Mandy Bettenhausen, AGNP

NPI 1295254266 · on the registry since 2017

Practice

Address
4901 Forest Park Ave
Div Surg Accs, Ste 340
Saint Louis, MO 63108
Phone
(314) 362-5298
Fax
(888) 824-2176
Organisation at this address
Washington University
Barnes Jewish Hospital
Barnes-Jewish Hospital
Washington University Physicians In Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
232

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-23

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