Individual
BIANCA MARIA MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 269-4287
Mailing address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 269-4287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012010818
MO
374J00000X
Doula
—
—
405300000X
Prevention Professional
2012010818
MO
Other
Enumeration date
01/11/2013
Last updated
02/12/2019
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