Individual
MS. HALEY M KOEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
763 S NEW BALLAS RD STE 110, SAINT LOUIS, MO 63141-8706
(314) 569-1717
(314) 569-0441
Mailing address
763 S NEW BALLAS RD STE 110, SAINT LOUIS, MO 63141-8706
(314) 569-1717
(314) 569-0441
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018012799
MO
Other
Enumeration date
05/02/2018
Last updated
03/19/2021
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