MRS. VANESSA STULTS, PA-C
Physician Assistant
Active
Individual
NPI: 1689869588
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085.003207 (IL) |
Frequently Asked Questions
NPI 1689869588 is the National Provider Identifier for MRS. VANESSA STULTS, PA-C, a Physician Assistant provider located in O Fallon, IL. This NPI was enumerated on September 13, 2007.
MRS. VANESSA STULTS, PA-C practices at 100 SPRINGFIELD CT, O Fallon, IL 62269.
Quick Facts
- NPI
- 1689869588
- Type
- Individual
- Enumerated
- Sep 13, 2007
- Last Updated
- Dec 28, 2021
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