Individual
MARIETTA R CAIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 664-5565
Mailing address
14 PONCA TRL, KIRKWOOD, MO 63122-5112
(314) 965-4470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142745
MO
Other
Enumeration date
07/05/2007
Last updated
05/12/2009
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