Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 20160030686 | MO |
N | 363LG0600X | Nurse Practitioner - Gerontology | 2016003068 | MO |
NPI | 1033577937 |
---|---|
Provider Name | Suneeta V. Parpelli |
First Address | Saint Louis, MO 63141-5047 |
Second Address | Bridgeton, MO 63044-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2016 |
Last Update Date | 05/02/2016 |