Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2019029262 | MO |
NPI | 1003463381 |
---|---|
Provider Name | Ms. Emily Lincoln |
First Address | Saint Louis, MO 63110-1081 |
Second Address | Saint Louis, MO 63110-1081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2019 |
Last Update Date | 26/04/2021 |