Elizabeth Koob Clyne in Saint Louis - Nurse Anesthetist, Certified Registered

Elizabeth Koob Clyne - NPI 1679529655

Elizabeth Koob Clyne is a Nurse Anesthetist, Certified Registered in Saint Louis, Missouri. Elizabeth Koob Clyne practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Elizabeth Koob Clyne is 1679529655. The last update date is 2012-11-08.

Elizabeth Koob Clyne's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149968378 and fax number 3149968910. The mailing address for Elizabeth Koob Clyne is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Koob Clyne
Address 660 S Euclid Ave, Saint Louis, Missouri
Phone Number 3149968378
Fax Number 3149968910
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1679529655
Provider Enumeration Date 2006-05-25
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address 660 S Euclid Ave
City Saint Louis
State Missouri (MO)
Post Code 631101010
Phone Number 3149968378
Fax Number 3149968910

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 2002001428
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
600420060 MO --

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FAQs about Elizabeth Koob Clyne

What is the unique identifier code issued to Elizabeth Koob Clyne by the Centers for Medicare & Medicaid Services?

The Elizabeth Koob Clyne has been assigned the NPI (National Provider Identifier) 1679529655. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Elizabeth Koob Clyne's facilities are situated?

The facilities of Elizabeth Koob Clyne are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.

What is Elizabeth Koob Clyne's specialized field of practice, and what is the corresponding taxonomy classification code?

The Elizabeth Koob Clyne's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date did the Elizabeth Koob Clyne receive the assignment of its 1679529655 from the Centers for Medicare & Medicaid Services?

The Elizabeth Koob Clyne was issued its 1679529655 by the Centers for Medicare & Medicaid Services on 2006-05-25.

When was the Elizabeth Koob Clyne's information last updated?

The Elizabeth Koob Clyne's information was last updated on 2012-11-08.

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