Individual
CLARA B ASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10012 KENNERLY RD, SUITE 301, SAINT LOUIS, MO 63128-2197
(314) 729-0088
(314) 729-3991
Mailing address
10012 KENNERLY RD, SUITE 301, SAINT LOUIS, MO 63128-2197
(314) 729-0088
(314) 729-3991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015031879
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015031879
STATE LICENSE
MO
Enumeration date
10/27/2015
Last updated
03/18/2022
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