Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 079925 | MO |
NPI | 1033380910 |
---|---|
Provider Name | Karen A Sepe |
First Address | Maryland Heights, MO 63043-3411 |
Second Address | Maryland Heights, MO 63043-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2008 |
Last Update Date | 18/03/2008 |