Most Relevant Information
Provider Data
| NPI Number: | 1003514563 |
| Provider Name: | CATHERINE NAILAEN MEPUKORI NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2023008021 |
Most Important Dates
| Enumeration Date: | 02/22/2023 |
| Last Updated: | 02/27/2024 |
Provider Practice Location
4801 WELDON SPRING PKWY
ST. CHARLES
MO
633049101
Practice Location Phone/Fax
| Phone: | 3145567612 |
| Fax: |
Provider Mailing Location
4801 WELDON SPRING PKWY
WELDON SPRING
MO
633049101
Provider Mailing Phone/Fax
| Phone: | 3145567612 |
| Fax: |