Rathjen, Irene Marion

Rathjen, Irene Marion is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Genetics And Genomic Med, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rathjen, Irene Marion can be contacted via phone (314) 454-6093.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Genetics And Genomic Med Saint Louis MO 63110-1002
Phone: (314) 454-6093
Fax: (844) 965-9624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2015016091 Missouri

Profile Details

NPI number 1447629464
LBN Legal business name Rathjen, Irene Marion
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2015
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447629464 NPPES
Missouri MEDICAID 420033957

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