Healthcare Provider Details

I. General information

NPI: 1578404265
Provider Name (Legal Business Name): MS. PAULA DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 BOSWORTH DR
SAINT LOUIS MO
63137-1912
US

IV. Provider business mailing address

1157 BOSWORTH DR
SAINT LOUIS MO
63137-1912
US

V. Phone/Fax

Practice location:
  • Phone: 314-914-6038
  • Fax: 314-649-6915
Mailing address:
  • Phone: 314-914-6038
  • Fax: 314-649-6915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: