Individual
ANN PERPERTUA UGWUEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
3921 S COMPTON AVE, SAINT LOUIS, MO 63118-4328
(314) 814-9980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019030763
MO
363LP2300X
Primary Care Nurse Practitioner
2019030763
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195504912799
BLS
MO
01
—
196504956364
ACLS
MO
01
—
2012000547
MO RN LICENSE
MO
01
—
2019030763
AGPCNP-BC
MO
Enumeration date
07/09/2019
Last updated
06/26/2023
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