| Doctor Name: | NANCY J. CIBULKA |
| NPI Number: | 1003977182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 123136 |
| Business Practice Address: | One Barnes-jewish Hospital Plaza Drive Mailstop 90-21-400 St. Louis, MO - 63110 |
| Business Phone Number: | 3144547882 |
| Business Fax Number: | 3144545267 |
| Mailing Address: | 102 Caravel Ct, BALLWIN |
| State: | MO |
| Postal Code: | 630216569 |
| Phone Number: | 3145299448 |
| Fax Number: | 3145299139 |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 123136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |