Individual provider · Type 1 NPI
Alexandra Mayberry
Family Nurse Practitioner · St. Louis, MO
NPI number
1023779378
Active
Practice location
3655 Vista Ave
St. Louis, MO 63110-2539
Mailing address
233 N 1st St
Breese, IL 62230-1617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021018971 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023779378
Alexandra Mayberry's National Provider Identifier is 1023779378, issued on Jan 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 7, 2022.