Individual
PROF. BEVERLY JO MARIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CNOR, CRNFA
Contact information
Practice address
1144 NEW BALLWIN OAKS DR, BALLWIN, MO 63021-4472
(636) 394-6717
(636) 394-6717
Mailing address
4400 LINDELL BLVD, SUITE 21H, SAINT LOUIS, MO 63108-2452
(314) 531-1455
(314) 531-1455
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
123589
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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