Individual
JANICE GESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076431
MO
367500000X
Certified Registered Nurse Anesthetist
209010298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430071466
RAILROAD MEDICARE
MO
05
—
913005864
—
MO
Enumeration date
02/01/2006
Last updated
07/11/2024
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