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NPI Code Detail

MEDICARE: LAURA MARIE KASTRABA PMHNP-BC

MEDICARE: LAURA MARIE KASTRABA PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2021016676MO

General Provider Information

NPI Number : 1851068753
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MARIE KASTRABA PMHNP-BC
Provider Business Mailing Address
First Line : 222 BENTWOOD LN
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-7101
Country : US
Telephone Number : 636-578-1645
Fax Number :
Provider Business Practice Location Address
First Line : 12303 DE PAUL DR
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2512
Country : US
Telephone Number : 314-344-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2021
Last Update Date : 03/31/2026

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