| Doctor Name: | MS. VIRGINIA L SEPICH |
| NPI Number: | 1013976356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CPNP |
| License Number: | 104293 |
| Business Practice Address: | 1465 S Grand Blvd St Louis, MO - 63104 |
| Business Phone Number: | 3145775675 |
| Business Fax Number: | 3142685111 |
| Mailing Address: | 3691 Rutger Ave, Provider Enrollment ST LOUIS |
| State: | MO |
| Postal Code: | 63110 |
| Phone Number: | 3149774440 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 104293 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |