Redman, Mary

Redman, Mary is an individual health care provider with primary practice located at 226 S Woods Mill Rd Ste 36W, Chesterfield MO 63017-3662. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Redman, Mary can be contacted via phone (314) 453-9666.

Contact Information

Primary practice address
226 S Woods Mill Rd Ste 36W Chesterfield MO 63017-3662
Phone: (314) 453-9666
Fax: (314) 453-9895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 062410 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 062410 Missouri

Profile Details

NPI number 1205124849
LBN Legal business name Redman, Mary
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2011
Last updated Jun 13th, 2019 - about 7 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 1205124849 NPPES
Missouri MEDICAID 420038232

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