Individual
MARY ELLEN FRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
17050 BAXTER RD, SUITE #110, CHESTERFIELD, MO 63005-1422
(636) 200-4242
(636) 200-4243
Mailing address
351 CONSORT DR, BALLWIN, MO 63011-4439
(636) 200-4242
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914765136
—
MO
Enumeration date
08/30/2006
Last updated
04/20/2015
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