Cori L Blasa in St Louis - Registered Nurse

Cori L Blasa - NPI 1619178035

Cori L Blasa is a Registered Nurse in St Louis, Missouri. Cori L Blasa practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Cori L Blasa is 1619178035. The last update date is 2007-07-08.

Cori L Blasa's current location address is 11140 S Towne Square, St Louis, Missouri. You can contact this provider via phone number 3148940787 and fax number 3147293963. The mailing address for Cori L Blasa is 11140 S Towne Square, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Cori L Blasa
Address 11140 S Towne Square, St Louis, Missouri
Phone Number 3148940787
Fax Number 3147293963
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1619178035
Provider Enumeration Date 2007-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11140 S Towne Square
City St Louis
State Missouri (MO)
Post Code 63123
Phone Number 3148940787
Fax Number 3147293963

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No 149338
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
149338 MO RN LIC
41307283 IL RN LIC

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FAQs about Cori L Blasa

What is the unique identification code assigned to Cori L Blasa by the Centers for Medicare & Medicaid Services?

The Cori L Blasa has been issued the NPI (National Provider Identifier) 1619178035. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Cori L Blasa's physical address?

The Cori L Blasa is physically located at 11140 S Towne Square, in the city of St Louis, MO, with the postal code 63123.

What is the Cori L Blasa's specialty and taxonomy code?

The Cori L Blasa's specialty is Registered Nurse, and the corresponding taxonomy code is 163W00000X.

On what date did Cori L Blasa receive its 1619178035 assignment from the Centers for Medicare & Medicaid Services?

The Cori L Blasa was assigned its 1619178035 on 2007-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Cori L Blasa most recently updated or revised?

The details related to Cori L Blasa, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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