Individual
MARY KATHERINE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP, MC
Contact information
Practice address
11652 STUDT AVE, SAINT LOUIS, MO 63141-7025
(314) 991-5445
(314) 991-5447
Mailing address
11652 STUDT AVE, SAINT LOUIS, MO 63141-7025
(314) 991-5445
(314) 991-5447
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1999138040
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002013479
MEDICARE ID-TYPE UNSPECIFIED
MO
01
—
027213
FMH EXCLUSIVE CHOICE
MO
01
—
121918
ADVANTRA
MO
01
—
160057764
RR MEDICARE
MO
01
—
288803
HEALTHLINK
MO
01
—
33180
BLUE CHOICE
MO
01
—
33810
BLUE CROSS BLUE SHIELD
MO
01
—
412030177
CIGNA
MO
01
—
7407000
MEDICARE COMPLETE
MO
01
—
F82867
MERCY
MO
Enumeration date
11/06/2006
Last updated
06/02/2008
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