Mary Louise Ponder in Saint Louis - Nurse Anesthetist, Certified Registered
Mary Louise Ponder - NPI 1013953769
Mary Louise Ponder is a Nurse Anesthetist, Certified Registered in Saint Louis, Missouri. Mary Louise Ponder practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mary Louise Ponder is 1013953769. The last update date is 2022-10-07.
Mary Louise Ponder's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 8008629980 and fax number 3143621185. The mailing address for Mary Louise Ponder is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Louise Ponder |
|---|---|
| Address | 660 S Euclid Ave, Saint Louis, Missouri |
| Phone Number | 8008629980 |
| Fax Number | 3143621185 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1013953769 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 660 S Euclid Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631101010 |
| Phone Number | 8008629980 |
| Fax Number | 3143621185 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 2005010735 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 914077706 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Louise Ponder by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Louise Ponder has been assigned the NPI (National Provider Identifier) 1013953769. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mary Louise Ponder is geographically located?
The Mary Louise Ponder is physically situated at the following location: 660 S Euclid Ave, Saint Louis, MO, 631101010.
What is Mary Louise Ponder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Louise Ponder is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013953769 to Mary Louise Ponder?
The Centers for Medicare & Medicaid Services originally issued the 1013953769 to Mary Louise Ponder on 2006-06-21.
As of what date were the details related to Mary Louise Ponder most recently updated or revised?
The information pertaining to Mary Louise Ponder, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-07.