Individual
NICOLE D. HELLWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
8225 CLAYTON RD, SAINT LOUIS, MO 63117-1107
(314) 330-4776
Mailing address
8225 CLAYTON RD, SAINT LOUIS, MO 63117-1107
(314) 330-4776
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2020025034
MO
363A00000X
Physician Assistant
9112173
FL
Other
Enumeration date
05/02/2019
Last updated
01/08/2022
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