Individual
MS. ARLENE MOORE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12634 OLIVE BLVD, SAINT LOUIS, MO 63141-6337
(314) 996-8000
(314) 996-8479
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 996-8000
(314) 996-8479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076641
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919740704
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/18/2006
Last updated
01/24/2018
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