Most Relevant Information
Provider Data
| NPI Number: | 1003696345 |
| Provider Name: | ALITA BILLOPS CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 2023040281 |
Most Important Dates
| Enumeration Date: | 10/04/2023 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
915 N GRAND BLVD
SAINT LOUIS
MO
631061621
Practice Location Phone/Fax
| Phone: | 3146524100 |
| Fax: |
Provider Mailing Location
411 RYAN DR
FAIRVIEW HEIGHTS
IL
622083728
Provider Mailing Phone/Fax
| Phone: | 6185302378 |
| Fax: |