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Nursing Service Providers Registered Nurse College Health

Provider NPI: 1447502034

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
6643 SHEPLEY DR  SAINT LOUIS, MO 63105-2354 US
Tel: 314-935-6666  Fax: --

Business Mailing Address:
Tel: 314-935-6666  Fax: --

NPI Information:
NPI: 1447502034
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1400XNursing Service Providers
Registered Nurse
College Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 163WC1400X





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