Doctor Name: | BARBARA ANN GIESE |
NPI Number: | 1003120825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CPNP |
License Number: | 051298 |
Business Practice Address: | 456 N New Ballas Rd Suite 304 Saint Louis, MO - 631416879 |
Business Phone Number: | 3145676868 |
Business Fax Number: | 3145670578 |
Mailing Address: | 456 N New Ballas Rd, Suite 304 SAINT LOUIS |
State: | MO |
Postal Code: | 631416879 |
Phone Number: | 3145676868 |
Fax Number: | 3145670578 |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 051298 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |