Individual provider · Type 1 NPI

Anita Detchemendy, ANP

Gerontology Nurse Practitioner · Chesterfield, MO

NPI number 1225586936 Active

Practice location

121 Saint Lukes Center Dr, Suite 506
Chesterfield, MO 63017-3518

Fax (314) 590-5930

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAG0216198 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1225586936

Anita Detchemendy, ANP's National Provider Identifier is 1225586936, issued on Sep 12, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chesterfield, MO. The record was last updated on Sep 19, 2016.