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Individual

MRS. IRINA PALATNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
13380 AMIOT DR, SAINT LOUIS, MO 63146-2239
(314) 910-1372
(314) 542-0894
Mailing address
13380 AMIOT DR, SAINT LOUIS, MO 63146-2239
(314) 910-1372
(314) 542-0894

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
MO 146617
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425291309
MO
01
500018623
RAILROAD MEDICARE
01
MA 4250001
MEDICARE
MO
Enumeration date
12/09/2005
Last updated
03/06/2013
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