Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 2001017747 | MO |
NPI | 1003135591 |
---|---|
Provider Name | Mrs. Anna Ouida Barton |
First Address | Saint Louis, MO 63141-8573 |
Second Address | Saint Louis, MO 63119-1452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2010 |
Last Update Date | 05/02/2021 |