Individual
IRINA BAAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 207, SAINT LOUIS, MO 63122-3356
(314) 821-5002
(314) 821-5029
Mailing address
2325 DOUGHERTY FERRY RD STE 207, SAINT LOUIS, MO 63122-3356
(314) 821-5002
(314) 821-5029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021050790
MO
Other
Enumeration date
03/02/2022
Last updated
12/03/2024
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