Individual
LOUISE BLASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 448-3791
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-2329
(314) 996-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015040102
MO
363LF0000X
Family Nurse Practitioner
2015040102
MO
Other
Enumeration date
02/05/2016
Last updated
09/19/2025
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