Individual
MWEEMBA CHIPEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131
(314) 996-4545
(314) 996-4546
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
(314) 996-4546
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014020747
MO
363LA2200X
Adult Health Nurse Practitioner
95006304
CA
Other
Enumeration date
08/21/2014
Last updated
02/12/2021
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