Individual
HIWOT WOLDGEORGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3165 MCKELVEY RD STE 100, BRIDGETON, MO 63044-2550
(314) 739-1333
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013005895
MO
Other
Enumeration date
02/11/2014
Last updated
01/05/2026
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