Daveta, Mia

Daveta, Mia is an individual health care provider with primary practice located at 4905 Mexico Rd. Ste 400, Saint Peters MO 63376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Daveta, Mia can be contacted via phone (314) 590-3721.

Contact Information

Primary practice address
4905 Mexico Rd. Ste 400 Saint Peters MO 63376
Phone: (314) 590-3721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023004707 Missouri

Profile Details

NPI number 1932896586
LBN Legal business name Daveta, Mia
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2023
Last updated Apr 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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