Individual
BARBARA WENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
Mailing address
PO BOX 60329, SAINT LOUIS, MO 63160-0329
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
073407
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918286402
—
MO
01
—
P00391896
RAILROAD MEDICARE
MO
Enumeration date
05/05/2006
Last updated
06/10/2008
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