National Provider Identifier Database

ANASTASIA A AVERBUKH, NP – NPI #1073903134
Family


Contact Information

ANASTASIA A AVERBUKH, NP
1011 BOWLES AVENUE
SUITE 121
FENTON, MO63026-2387
Phone: 314-200-2713
Fax: 314-200-2714
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ANASTASIA A AVERBUKH

NPI Number 1073903134
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/28/2015
Last updated 05/13/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2014031123
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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