IndividualActive
Abisola Abimbola
NPI 1083440457 · Family Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1083440457
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2024037599 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522
Phone: (866) 389-2727
Approximate (ZIP-level) locationGet directions
Mailing address
6015 Staely Ave
Saint Louis, MO 63123-3460
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.