Search › Missouri › 367500000X
Desiree Wickenhauser, CRNA
NPI 1912453945 · on the registry since 2016
Practice
- Address
- 11133 Dunn Rd
Saint Louis, MO 63136 - Phone
- (314) 203-3041
- Organisation at this address
- Bjc
Christian Hospital
Suresh Mathew Md Llc
Pulmonary Consultants,Inc
Sepm Missouri Services PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 172
Additional practice sites
- 9515 Holy Cross Ln, Breese, IL
- 400 Maple Summit Rd, Jerseyville, IL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
163W00000X
367500000X - Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri