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Katherine Bleisch
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1477910719

Katherine Bleisch is a Gerontology Nurse Practitioner based in Saint Charles, MO and is specialized in Gerontology. Katherine Bleisch practices in Saint Louis, MO. The NPI Number for Katherine Bleisch is 1477910719 and holds a License No. 2016000966 (Missouri).

The current practice location address for Katherine Bleisch is 621 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-315-1494.

Location: 621 S New Ballas Rd, Saint Louis, MO, 63303-8321
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Provider Profile Details
NPI Number
1477910719
Provider Name
Katherine Bleisch
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 S New Ballas Rd, Saint Louis, MO, 63303-8321
Phone Number
314-315-1494
Fax Number
Provider Enumeration Date
01/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
46-2913068 05 MO
institution
Provider Business Practice Location Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-315-1494
Fax Number
person
Provider Business Mailing Address Details
Address
621 S New Ballas Rd
City
State
Zip
63141-8232
Phone Number
314-315-1494
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2016000966 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2016000966 (Missouri)
Definition
Definition to come...
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