Hodges, Lea-Ana Rae

Hodges, Lea-Ana Rae is an individual health care provider with primary practice located at 10345 Watson Road , St. Louis MO 63127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hodges, Lea-Ana Rae can be contacted via phone (314) 384-3584.

Contact Information

Primary practice address
10345 Watson Road St. Louis MO 63127
Fax: (314) 965-6067
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2016041030 Missouri

Profile Details

NPI number 1831632165
LBN Legal business name Hodges, Lea-Ana Rae
Credentials AGNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2016
Last updated Dec 6th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831632165 NPPES
Missouri MEDICAID 420074643

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