Distler, Madeline Jane

Distler, Madeline Jane is an individual health care provider with primary practice located at 4590 Childrens Pl Stop 90-29916 , Saint Louis MO 63110-1020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Distler, Madeline Jane can be contacted via phone (314) 273-3194.

Contact Information

Primary practice address
4590 Childrens Pl Stop 90-29916 Saint Louis MO 63110-1020
Phone: (314) 273-3194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 2020012267 Missouri

Profile Details

NPI number 1053911297
LBN Legal business name Distler, Madeline Jane
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - about 6 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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