Individual
MS. EMILY KATHERINE WAMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, THIRD FLOOR, SAINT LOUIS, MO 63110-1002
(314) 454-6162
(314) 454-2174
Mailing address
660 S EUCLID AVE, C B 8115, SAINT LOUIS, MO 63110-1010
(314) 454-6162
(314) 454-2174
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2004017952
MO
Other
Enumeration date
03/10/2008
Last updated
07/16/2009
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