Healthcare Provider Details

I. General information

NPI: 1437321890
Provider Name (Legal Business Name): GLORIA MEEK APN BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ MAILSTOP 90-31-694
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

ONE BARNES -JEWISH HOSPITAL PLAZA MAILSTOP 90-31-694
ST. LOUIS MO
63110
US

V. Phone/Fax

Practice location:
  • Phone: 314-747-5354
  • Fax: 314-747-5357
Mailing address:
  • Phone: 314-747-5354
  • Fax: 314-747-5357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number128947
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: