Individual
CARY LEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
1107 S BENTON AVE, SAINT CHARLES, MO 63301-2429
(314) 402-2201
Mailing address
1107 S BENTON AVE, SAINT CHARLES, MO 63301-2429
(314) 402-2201
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2009017895
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2016030696
MO
Other
Enumeration date
08/01/2016
Last updated
09/09/2016
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