Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1093765810
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
601, Kirkshire Drive, Larchmont, Kirkwood, Saint Louis County, Missouri, 63122, United States
KIRKWOOD, MO 631222438
Phone: (314) 795-3835
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63122)
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