Individual provider · Type 1 NPI
Katherine Bleisch
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1477910719
Active
Practice location
621 S New Ballas Rd
St. Louis, MO 63141-8232
Mailing address
2330 Eagle Pines Dr
St. Charles, MO 63303-8321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2016000966 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 2016000966 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1477910719
Katherine Bleisch's National Provider Identifier is 1477910719, issued on Jan 18, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 18, 2016.