# DEPARTMENT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871509505
- **Authorized official:** KATHLEEN ANN WENZEL RN,ANP (ANP/CLINICAL COORDINATOR)
- **Authorized official phone:** (314) 289-6343

## Contact information

- **Practice address:** 915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
- **Practice address phone:** (314) 289-6343
- **Practice address fax:** (314) 289-6442
- **Mailing address:** 46 SMALLING CT, BELLEVILLE, IL 62223-2124
- **Mailing address phone:** (618) 397-9211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 363LA2200X | MO | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 08/22/2020