| Mr Alex James Stark-valdez, FNP | |
|
272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | |
| (314) 859-1234 | |
| (314) 859-1235 |
| Full Name | Mr Alex James Stark-valdez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 272 Mayfair Plaza Shopping Ctr, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477161420 | NPI | - | NPPES |
| 420106651 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020011688 (Missouri) | Primary |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841221116 PECOS PAC ID: 9830008770 Enrollment ID: O20031107000074 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alex James Stark-valdez, FNP Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 859-1234 | Mr Alex James Stark-valdez, FNP 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 Ph: (314) 859-1234 |
Mrs. Christine Ann Testa, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 Fax: 314-953-6309 | |
Ms. Laura M Gramolino, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6994 | |
Rachel Ann Sappington, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-831-4471 | |
Maggie Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3433 N Hwy 67, Florissant, MO 63033 Phone: 314-755-1822 | |
Kimberly Ann Deptula, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Howdershell Rd, Florissant, MO 63031 Phone: 314-687-2727 Fax: 314-687-2672 | |
Nicole A Phillips, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2535 Dresden Dr, Florissant, MO 63033 Phone: 314-422-9454 | |
Ms. Ashley Azzure Daniel, FNP -C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14021 New Halls Ferry Rd, Florissant, MO 63033 Phone: 314-915-3089 |