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Individual

MS. CATHERINE LYDIA GOEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1600 S BRENTWOOD BLVD, DIV NEUROLOGY GENERAL, STE 600, SAINT LOUIS, MO 63144-1320
(314) 362-1408
(314) 362-0338
Mailing address
660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 63110-1010
(314) 362-1408
(314) 362-0338

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016027464
MO
363LF0000X
Family Nurse Practitioner
Primary
2016027464
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420047031
MO
Enumeration date
08/25/2016
Last updated
11/15/2021
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