Individual
COREY A. VAN NATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
(314) 768-8918
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8442
(314) 768-8918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2013003430
MO
367500000X
Certified Registered Nurse Anesthetist
209010221
IL
Other
Enumeration date
02/18/2013
Last updated
12/05/2019
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