Individual
MS. ALEXANDRA LOUISE VENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4488 FOREST PARK AVE, DIV NEUROLOGY AGING AND DEMENTIA, STE 160, SAINT LOUIS, MO 63108-2283
(314) 286-1967
(314) 286-1985
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1967
(314) 286-1985
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2024002810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420136491
—
MO
Enumeration date
10/23/2023
Last updated
04/17/2025
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