Individual
MARCIA DIANE BORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-7447
Mailing address
1029 LARK AVE, KIRKWOOD, MO 63122-3717
(314) 910-1025
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0059344
MO
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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