Individual provider · Type 1 NPI

Patricia Ann Dettenmeier, MSN CS

Critical Care Medicine Registered Nurse · St. Louis, MO

NPI number 1861460180 Active

Practice location

3660 Vista
St. Louis, MO 63110

Fax (314) 268-5108

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X78947 (MO)
Medical-Surgical Registered Nurse 163WM0705X78947 (MO)
Adult Health Nurse Practitioner 363LA2200X78947 (MO)

Critical Care Medicine Registered Nurse: Definition to come...

22 other providers at this address

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About NPI 1861460180

Patricia Ann Dettenmeier, MSN CS's National Provider Identifier is 1861460180, issued on Mar 11, 2006. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 9, 2008.