This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MO
NURSE PRACTITIONER
Graduated: 2014
NPI: 1336659523
SOUTHEASTERN PHYSICIAN SERVICES PC
11133 DUNN RD
SAINT LOUIS, MO 631366163
3146534450
Source: CMS National Downloadable File, September 2026.