Stephanie Lickerman
Nurse Practitioner - Adult Health
121 Saint Lukes Center Dr Ste 303
Chesterfield
, Missouri 63017-3509
Stephanie Lickerman
Nurse Practitioner - Adult Health
121 Saint Lukes Center Dr Ste 303
Chesterfield
, Missouri 63017-3509
(314) 590-5949
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Stephanie Lickerman
- 121 Saint Lukes Center Dr Ste 303
- Chesterfield, MO
- Zip : 63017-3509
- Fax : (314) 590-5949
- Phone : (314) 434-3278
Second Address
- Stephanie Lickerman
- 121 Saint Lukes Center Dr Ste 303
- Chesterfield, MO
- Zip : 63017-3509
- Fax : (314) 590-5949
- Phone : (314) 434-3278
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 2011006713 | MO |
National Provider Identifier
| NPI | 1023309200 |
|---|---|
| Provider Name | Stephanie Lickerman |
| First Address | Chesterfield, MO 63017-3509 |
| Second Address | Chesterfield, MO 63017-3509 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2011 |
| Last Update Date | 02/10/2014 |
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.