Provider Demographics
NPI:1750334785
Name:ALBERS, CATHLEEN M (WHNP)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:M
Last Name:ALBERS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MISS
Other - First Name:CATHLEEN
Other - Middle Name:M
Other - Last Name:MACLEOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:10777 SUNSET OFFICE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1019
Mailing Address - Country:US
Mailing Address - Phone:314-842-4802
Mailing Address - Fax:314-849-8721
Practice Address - Street 1:10777 SUNSET OFFICE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1019
Practice Address - Country:US
Practice Address - Phone:314-842-4802
Practice Address - Fax:314-849-8721
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO047914363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP01223035OtherRAILROAD MEDICARE
MO1750334785Medicaid
MO1750334785Medicaid
MO152800156Medicare PIN
MOP01223035OtherRAILROAD MEDICARE