Individual provider · Type 1 NPI
Mary Kopsky, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1336740828
Active
Practice location
615 S New Ballas Rd, Suite Yg 230
St. Louis, MO 63141
Mailing address
7263 Balson Ave, 1W
St. Louis, MO 63130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2019024727 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336740828
Mary Kopsky, PNP's National Provider Identifier is 1336740828, issued on Nov 3, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Feb 7, 2024.