Carrie Lee Plisco
Nurse Practitioner - Gerontology Nurse Practitioner - Women's Health
253 Dunn Rd
Florissant
, Missouri 63031-7928
Carrie Lee Plisco
Nurse Practitioner - Gerontology Nurse Practitioner - Women's Health
253 Dunn Rd
Florissant
, Missouri 63031-7928
(314) 837-0047
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Carrie Lee Plisco
- Po Box 23340
- Saint Louis, MO
- Zip : 63156-3340
- Fax : (314) 837-0047
- Phone : (314) 839-4554
Second Address
- Carrie Lee Plisco
- 253 Dunn Rd
- Florissant, MO
- Zip : 63031-7928
- Fax : (314) 837-0047
- Phone : (314) 839-4554
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | 2020014169 | MO |
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 1999140477 | MO |
National Provider Identifier
| NPI | 1104092865 |
|---|---|
| Provider Name | Carrie Lee Plisco |
| First Address | Saint Louis, MO 63156-3340 |
| Second Address | Florissant, MO 63031-7928 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2008 |
| Last Update Date | 06/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.