Vogt, Misty Dawn

Vogt, Misty Dawn is an individual health care provider with primary practice located at 450 N New Ballas Rd Dept Otolaryngology, Ste 140, Saint Louis MO 63141-6859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vogt, Misty Dawn can be contacted via phone (314) 362-7509.

Contact Information

Primary practice address
450 N New Ballas Rd Dept Otolaryngology, Ste 140 Saint Louis MO 63141-6859
Phone: (314) 362-7509
Fax: (314) 237-6674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2000164738 Missouri

Profile Details

NPI number 1346226867
LBN Legal business name Vogt, Misty Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Apr 25th, 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 1346226867 NPPES
Missouri MEDICAID 424158601

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