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NPI Code Detail

MEDICARE: MS. GAIL ANN ESPARZA RN

MEDICARE: MS. GAIL ANN ESPARZA RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0400XCase Management Registered Nurse094663MO

General Provider Information

NPI Number : 1477315398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL ANN ESPARZA RN
Provider Business Mailing Address
First Line : 4719 PRAGUE AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63109-2709
Country : US
Telephone Number : 314-588-0090
Fax Number :
Provider Business Practice Location Address
First Line : 4974 MANCHESTER AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2010
Country : US
Telephone Number : 314-289-6566
Fax Number : 314-289-6364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 01/25/2024

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