Individual provider · Type 1 NPI

Linda Susan Mudd, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1790943710 Active

Practice location

12700 Southfork Rd, Ste 140
St. Louis, MO 63128-3201

Fax (314) 849-7766

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X060827 (MO)

Pediatric Nurse Practitioner: Definition to come...

45 other providers at this address

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About NPI 1790943710

Linda Susan Mudd, PNP's National Provider Identifier is 1790943710, issued on May 27, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on May 27, 2008.