SearchMissouri163WP2201X

Emily Fuller

NPI 1861251894 · on the registry since 2024

Practice

Address
4974 Manchester Ave
Saint Louis, MO 63110
Phone
(314) 289-6566
Organisation at this address
St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
163WP2201X
163WP2201X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-13

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