Individual
KATIE PALUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 BELLEVUE AVE, SUITE 200, SAINT LOUIS, MO 63117-1851
(314) 645-6450
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017006971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017006971
LICENSE
MO
Enumeration date
03/30/2017
Last updated
11/12/2020
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