Miss Paula Jean Deruntz, NP - Nurse Practitioner in St. Louis, MO

Miss Paula Jean Deruntz, NP is a Nurse Practitioner - Acute Care based in St. Louis, Missouri. Miss Paula Jean Deruntz is licensed to practice in Missouri (license number 103221) and her current practice location is 915 North Grand Blvd, Va Medical Center, St. Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 289-6407.

NPI number for Miss Paula Jean Deruntz is 1154388122 and her current mailing address is 6330 Lansdowne Ave, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154388122.

Contact Information

Miss Paula Jean Deruntz, NP
915 North Grand Blvd, Va Medical Center,
St. Louis, MO 63106
(314) 289-6407
Not Available

Map and Direction




Provider's Profile

Full NameMiss Paula Jean Deruntz
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location915 North Grand Blvd, St. Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154388122
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 04/06/2024

Medical Identifiers

Medical identifiers for Miss Paula Jean Deruntz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154388122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 103221 (Missouri)Secondary
363LA2100XNurse Practitioner - Acute Care 103221 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Paula Jean Deruntz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Paula Jean Deruntz, NP
6330 Lansdowne Ave,
Saint Louis, MO 63109-2217

Ph: (314) 457-8324
Miss Paula Jean Deruntz, NP
915 North Grand Blvd, Va Medical Center,
St. Louis, MO 63106

Ph: (314) 289-6407

Reviews and Comments


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