Individual provider · Type 1 NPI

Teresa Dumaine

Family Nurse Practitioner · St. Louis, MO

NPI number 1356500300 Active

Practice location

9417 S Broadway
St. Louis, MO 63125-2009

Fax (314) 833-4031

Mailing address

722 Loughborough Ave
St. Louis, MO 63111-2732

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2019000531 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1356500300

Teresa Dumaine's National Provider Identifier is 1356500300, issued on Jun 5, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2026.