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Individual

MRS. KATHARINE CELLA FASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1044 N MASON RD, DIV IM GENERAL MED, STE 330, SAINT LOUIS, MO 63141-6431
(314) 996-8103
(314) 996-3230
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8103
(314) 996-3230

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019000563
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420070260
MO
Enumeration date
01/08/2019
Last updated
06/19/2025
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