IndividualActive
Patty Declue, RN CCM
NPI 1326790452 · Case Management Registered Nurse · Ellisville, MO
Provider details
- NPI number
- 1326790452
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN CCM
- Sex
- Female
- Sole proprietor
- No
- License
- 108863 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
506 Sumac Field Ct
Ellisville, MO 63021-5974
Phone: (314) 920-9207
Approximate (ZIP-level) locationGet directions
Mailing address
1391 Nw 136th Ave
Sunrise, FL 33323-2800
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.