Individual
CATHY WARE KOETTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, NP-C
Contact information
Practice address
4590 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1832
(314) 849-7669
(314) 849-7670
Mailing address
3221 MCKELVEY RD STE 301, BRIDGETON, MO 63044-2551
(636) 498-5973
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
123616
MO
363LF0000X
Family Nurse Practitioner
123616
MO
363LP0200X
Pediatric Nurse Practitioner
123616
MO
Other
Enumeration date
02/27/2009
Last updated
07/25/2019
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