Lisa A Koester-Wiedema in Saint Louis - Adult Health
Lisa A Koester-Wiedema - NPI 1184642662
Lisa A Koester-Wiedema is a Adult Health in Saint Louis, Missouri. Lisa A Koester-Wiedema practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Lisa A Koester-Wiedema is 1184642662. The last update date is 2023-09-21.
Lisa A Koester-Wiedema's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3142860801 and fax number 3142860855. The mailing address for Lisa A Koester-Wiedema is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Koester-Wiedema |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 3142860801 |
| Fax Number | 3142860855 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1184642662 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2023-09-21 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 3142860801 |
| Fax Number | 3142860855 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 134512 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425146008 | MO | -- |
Post Comment/ Review Below
What is the Lisa A Koester-Wiedema's unique identification number?
The Lisa A Koester-Wiedema has been assigned the NPI (National Provider Identifier) Number 1184642662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lisa A Koester-Wiedema's facilities are situated?
The facilities of Lisa A Koester-Wiedema are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.
What is Lisa A Koester-Wiedema's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa A Koester-Wiedema is Adult Health, and the taxonomy code that categorizes this field of expertise is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184642662 to Lisa A Koester-Wiedema?
The Centers for Medicare & Medicaid Services originally issued the 1184642662 to Lisa A Koester-Wiedema on 2006-07-17.
When was the Lisa A Koester-Wiedema's information last updated?
The Lisa A Koester-Wiedema's information was last updated on 2023-09-21.