Individual provider · Type 1 NPI
Autumn Roque, DNP, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO
NPI number
1184074270
Active
Practice location
4130 Lindell Blvd
St. Louis, MO 63108-2914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2016019122 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184074270
Autumn Roque, DNP, APRN, PMHNP-BC's National Provider Identifier is 1184074270, issued on Jun 20, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Jun 20, 2016.