Individual provider · Type 1 NPI
Misrak Gebissa
Gerontology Clinical Nurse Specialist · Creve Coeur, MO
NPI number
1184175085
Active
Practice location
9 Sackston Woods Ln
Creve Coeur, MO 63141-8228
Mailing address
10315 Tuxford Dr Apt 10
St. Louis, MO 63146-5825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | AG0416096 (MO) |
Gerontology Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1184175085
Misrak Gebissa's National Provider Identifier is 1184175085, issued on Oct 17, 2016. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Creve Coeur, MO. The record was last updated on Oct 17, 2016.