Individual
KAYLA MARLENE GERVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
110 FOXWOODS CT, TROY, MO 63379-4474
(636) 318-5952
Mailing address
110 FOXWOODS CT, TROY, MO 63379-4474
(636) 318-5952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023024706
MO
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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