Healthcare Provider Details

I. General information

NPI: 1346550332
Provider Name (Legal Business Name): JOANNE MARIE G'SELL RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PL 8W23
SAINT LOUIS MO
63110-1002
US

IV. Provider business mailing address

1 CHILDRENS PL 8W23
SAINT LOUIS MO
63110-1002
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-6036
  • Fax:
Mailing address:
  • Phone: 314-454-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2010004351
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: