Individual
CAROLINE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 443-6454
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2018033281
MO
Other
Enumeration date
10/11/2018
Last updated
11/02/2021
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