Provider Demographics
NPI:1053930313
Name:CUTTS, LARONDA MICHELLE (FNP)
Entity type:Individual
Prefix:MS
First Name:LARONDA
Middle Name:MICHELLE
Last Name:CUTTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-7509
Mailing Address - Fax:314-362-1618
Practice Address - Street 1:11125 DUNN RD
Practice Address - Street 2:DEPT OTOLARYNGOLOGY, STE 201
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6132
Practice Address - Country:US
Practice Address - Phone:314-362-7509
Practice Address - Fax:314-362-1618
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019047152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2019047152OtherNURSE PRACTITIONER LICENSE NUMBER