Individual
ANN LIBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
851 E 5TH ST, SUITE 200, WASHINGTON, MO 63090-3135
(636) 239-8585
(636) 239-8553
Mailing address
851 E 5TH ST, SUITE 200, WASHINGTON, MO 63090-3135
(636) 239-8585
(636) 239-8553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
209004733
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
2008012476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114029386
—
MO
Enumeration date
09/01/2006
Last updated
01/05/2015
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