Floretta, Marie

Floretta, Marie is an individual health care provider with primary practice located at 6420 Clayton Road , St Louis MO 63117-1811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Floretta, Marie can be contacted via phone (314) 768-8442.

Contact Information

Primary practice address
6420 Clayton Road St Louis MO 63117-1811
Phone: (314) 768-8442
Fax: (314) 768-8442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 121731 Missouri

Profile Details

NPI number 1336115369
LBN Legal business name Floretta, Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336115369 NPPES
Illinois MEDICAID 493840807
Illinois Other P00449515
Illinois MEDICAID 918649237

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