Individual
JULIE BERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6090
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015044721
MO
363L00000X
Nurse Practitioner
Primary
F1115467
MO
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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