Roque, Autumn

Roque, Autumn is an individual health care provider with primary practice located at 4130 Lindell Blvd , Saint Louis MO 63108-2914. 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. Roque, Autumn can be contacted via phone (314) 535-5600.

Contact Information

Primary practice address
4130 Lindell Blvd Saint Louis MO 63108-2914
Phone: (314) 535-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2016019122 Missouri

Profile Details

NPI number 1184074270
LBN Legal business name Roque, Autumn
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Jun 20th, 2016 - about 10 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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