Individual
KATHERINE ROSE LANDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
5015793
NC
363L00000X
Nurse Practitioner
5015793
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
2022046160
MO
363LG0600X
Gerontology Nurse Practitioner
5015793
NC
Other
Enumeration date
02/17/2022
Last updated
04/10/2023
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