Most Relevant Information
Provider Data
| NPI Number: | 1003055906 |
| Provider Name: | STEPHANIE LYNN SHOREY WHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 146758 |
Most Important Dates
| Enumeration Date: | 02/17/2009 |
| Last Updated: | 06/21/2013 |
Provider Practice Location
621 S NEW BALLAS RD
SUITE 2007B
SAINT LOUIS
MO
631418232
Practice Location Phone/Fax
| Phone: | 3149915000 |
| Fax: |
Provider Mailing Location
621 S NEW BALLAS RD
SUITE 2007B
SAINT LOUIS
MO
631418232
Provider Mailing Phone/Fax
| Phone: | 3149915000 |
| Fax: |