Individual provider · Type 1 NPI

Regina Louise Iman, A.P.R.N., B.C., A.N.P

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1477536456 Active

Practice location

1000 Des Peres Rd, Suite 300
St. Louis, MO 63131-2050

Call (314) 919-2600 Map

Fax (314) 919-2677

Mailing address

PO Box 23340
St. Louis, MO 63156-3340

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XMO2002025105 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1477536456

Regina Louise Iman, A.P.R.N., B.C., A.N.P's National Provider Identifier is 1477536456, issued on Nov 23, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on May 26, 2016.