Individual
MRS. MARY LEBER D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP, MSN
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6450
Mailing address
8 WOODBRIDGE PARK RD, SAINT LOUIS, MO 63131-4023
(314) 580-3714
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
079483
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
079483
MO
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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