Individual
MRS. NANCY E BUBENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 2009B, SAINT LOUIS, MO 63141-8232
(314) 251-5649
(314) 251-6918
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
073245
MO
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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