Individual
MS. MARIE FLORETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6420 CLAYTON ROAD, ST LOUIS, MO 63117-1811
(314) 768-8442
(314) 768-8442
Mailing address
6420 CLAYTON ROAD, ST LOUIS, MO 63117-1811
(314) 768-8442
(314) 768-8918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
121731
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493840807
—
IL
05
—
918649237
—
MO
01
—
P00449515
RR MEDICARE
MO
Enumeration date
02/28/2006
Last updated
12/04/2023
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