Healthcare Provider Details

I. General information

NPI: 1003754078
Provider Name (Legal Business Name): CATHERINE KARLE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10806 OLIVE BLVD
SAINT LOUIS MO
63141-7773
US

IV. Provider business mailing address

10806 OLIVE BLVD
SAINT LOUIS MO
63141-7773
US

V. Phone/Fax

Practice location:
  • Phone: 314-993-7009
  • Fax: 866-816-2983
Mailing address:
  • Phone: 314-993-7009
  • Fax: 866-816-2983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026005113
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: