Search › Missouri › 363L00000X
Stacy Wiley, NURSE PRACTITIONER
NPI 1669176046 · on the registry since 2023
Practice
- Address
- 12277 De Paul Dr Ste 403
Bridgeton, MO 63044 - Phone
- (314) 738-2715
- Organisation at this address
- Multi-Care Medical, Pc
Waqar Ulislam Mirza Md
Joule N Stevenson Md Llc
Raymond F. Mohrman Md Pc
Surgical Arts Of St. LouisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 3933 S Broadway, Saint Louis, MO
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LG0600X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-27
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