MATTHEW TIESKOETTER, APRN

Nurse Practitioner - Adult Health

Active Individual
NPI: 1508482506

Practice Address

12349 DE PAUL DR STE 100
Bridgeton, MO 63044

Phone: (314) 291-7900

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X Yes 2020003584 (MO)

Frequently Asked Questions

NPI 1508482506 is the National Provider Identifier for MATTHEW TIESKOETTER, APRN, a Nurse Practitioner - Adult Health provider located in Bridgeton, MO. This NPI was enumerated on June 25, 2020.
MATTHEW TIESKOETTER, APRN practices at 12349 DE PAUL DR STE 100, Bridgeton, MO 63044.

Quick Facts

NPI
1508482506
Type
Individual
Enumerated
Jun 25, 2020
Last Updated
Oct 17, 2022

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