Individual
GINA R CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4000
(636) 497-4001
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 497-4000
(636) 497-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013044837
MO
363LF0000X
Family Nurse Practitioner
20113044837
MO
363LF0000X
Family Nurse Practitioner
2013044837
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366853541
—
MO
Enumeration date
05/10/2014
Last updated
02/06/2026
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