Individual
MRS. BRENDA C KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNC, NNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6450
Mailing address
920 FOX GLENN LN, BELLEVILLE, IL 62221-3405
(618) 236-9516
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
145551
MO
363LN0000X
Neonatal Nurse Practitioner
209013374
IL
Other
Enumeration date
05/07/2007
Last updated
02/05/2016
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