Healthcare Provider Details

I. General information

NPI: 1750334785
Provider Name (Legal Business Name): CATHLEEN M ALBERS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHLEEN M MACLEOD WHNP

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10777 SUNSET OFFICE DR SUITE 200
SAINT LOUIS MO
63127-1019
US

IV. Provider business mailing address

10777 SUNSET OFFICE DR SUITE 200
SAINT LOUIS MO
63127-1019
US

V. Phone/Fax

Practice location:
  • Phone: 314-842-4802
  • Fax: 314-849-8721
Mailing address:
  • Phone: 314-842-4802
  • Fax: 314-849-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number047914
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: