Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY MICHAEL DITTER, NP
ActiveMR. JEFFREY MICHAEL DITTER, NP is a Nurse Practitioner healthcare provider located in LAKE ST LOUIS, Missouri. NPI 1508307190 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LAKE ST LOUIS, MO
Registration Details
- NPI Number
- 1508307190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2017 (9.4030687346948 yrs)
- Last Updated
- Jan 13, 2021
- Licenses
-
A155084 (IA)2017004715 (MO)
Practice Information
- Address
-
100 MEDICAL PLZLAKE ST LOUIS, MO, 633671366Browse MO providers · Browse ZIP 63367
- Phone
- 6366255200
- Fax
- 6366255314
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in LAKE ST LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| REGENE BOON | NP | 1821286741 |
| MS. JULIE MARIE SCOTT | MSN ANP | 1962715649 |
| VICTORIA LYNN HINES | NP | 1013424530 |
| AUDREY ANNE BOLDEN | NP | 1316455959 |
| LAURETTA PEARSON WEGMAN | FNP-C | 1912671637 |
| MONTACER BELFANCHA | NP | 1639914609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.