Individual provider · Type 1 NPI
Paula Jean Deruntz, NP
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1154388122
Active
Practice location
915 North Grand Blvd, Va Medical Center
St. Louis, MO 63106
Mailing address
6330 Lansdowne Ave
St. Louis, MO 63109-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 103221 (MO) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 103221 (MO) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1154388122
Paula Jean Deruntz, NP's National Provider Identifier is 1154388122, issued on Apr 26, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 6, 2024.