Individual
MRS. CAROLINE COLGROVE CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BIOBALANCE HEALTH 10800 OLIVE BLVD, ST. LOUIS, MO 63141
(314) 993-0963
(260) 969-6898
Mailing address
BIOBALANCE HEALTH 10800 OLIVE BLVD, ST. LOUIS, MO 63141-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005165A
IN
363LF0000X
Family Nurse Practitioner
Primary
2017004980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201268300
—
IN
Enumeration date
09/11/2014
Last updated
12/07/2023
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