| Doctor Name: | MS. MARLENE E GUTH |
| NPI Number: | 1093849531 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 069675 |
| Business Practice Address: | 621 S. New Ballas Rd Suite 3017 Tower B St. Louis, MO - 63141 |
| Business Phone Number: | 3142515814 |
| Business Fax Number: | 3142515814 |
| Mailing Address: | 621 S. New Ballas Rd, Suite 3017 Tower B ST. LOUIS |
| State: | MO |
| Postal Code: | 63141 |
| Phone Number: | 3142515814 |
| Fax Number: | 3142515814 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 01/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 069675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |