Individual
GINA IHEONU UZENDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
(314) 996-4546
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-4545
(314) 996-4546
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200163259
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2000163259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740481142
—
MO
Enumeration date
05/31/2007
Last updated
03/29/2021
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