IndividualActive
Alexandra Mayberry
NPI 1023779378 · Family Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1023779378
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2021018971 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 577-6056
Approximate (ZIP-level) locationGet directions
Mailing address
233 N 1st St
Breese, IL 62230-1617
Registry dates
- Enumerated
- 2022-01-07
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.