Provider Demographics
NPI:1164428454
Name:KURZ, CLAUDETTE J (GNP)
Entity Type:Individual
Prefix:MS
First Name:CLAUDETTE
Middle Name:J
Last Name:KURZ
Suffix:
Gender:F
Credentials:GNP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8221
Mailing Address - Street 2:7425 FORSYTH
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-8221
Mailing Address - Country:US
Mailing Address - Phone:314-935-0770
Mailing Address - Fax:314-935-0575
Practice Address - Street 1:4488 FOREST PARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2215
Practice Address - Country:US
Practice Address - Phone:314-454-7756
Practice Address - Fax:314-454-7759
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO082683363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q44062Medicare UPIN