Nicole Renea Lane, NPADULTGERONTOLOGY
Nicole Renea Lane, NPADULTGERONTOLOGY is a Nurse Practitioner in Saint Louis, Missouri. Licensed in Kansas. Registered with an NPI since 2016.
- Licensed in
- KS
- In the registry since
- 2016
Practice location Address checks out
12401 Olive BlvdSaint Louis, MO 63141-5443
Phone: (314) 390-0135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 77185 (KS) |
|---|
Record details
| NPI number | 1942744222 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NPADULTGERONTOLOGY |
| Sole proprietor | No |
| NPI enumerated | December 6, 2016 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 28, 2021 |
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