IndividualActive
Mary King
NPI 1386477834 · Licensed Practical Nurse · Mapaville, MO
Provider details
- NPI number
- 1386477834
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2001004925 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
3657 Baptist Park Rd
Mapaville, MO 63065
Phone: (636) 931-0080
Approximate (ZIP-level) locationGet directions
Mailing address
565 Wall St
Herculaneum, MO 63048-1126
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.