Heidi M Dresner, RN,BC,FNP

Individual provider Active NPI Nurse Practitioner · Saint Peters, MO

NPI 1164549713 · NPPES record last updated Jan 12, 2011

Key facts

NPI
1164549713
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
151897 (MO)
Practice address
4800 Mexico Rd
Ste 101
Saint Peters, MO 63376-1666
Phone
(636) 936-0400
Fax
(636) 936-2252
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Weight Loss Surgical Center LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 151897 MO Yes

Addresses

Primary practice location

4800 Mexico Rd
Ste 101
Saint Peters, MO 63376-1666

Mailing address

25 Kendall PL
Saint Peters, MO 63376-7759
Phone (636) 294-1363

Other identifiers

IdentifierTypeStateIssuer
151897OtherMOLICENSE NUMBER

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.