Individual
MS. NICOLE MARIE PETRYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C, SAINT LOUIS, MO 63110-1032
(800) 647-2098
(314) 362-3192
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 647-2098
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022021670
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420112872
—
MO
Enumeration date
06/15/2022
Last updated
04/17/2025
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