IndividualActive
Anoucha Mukoko, PMHNP-BC
NPI 1447100862 · Psychiatric/Mental Health Nurse Practitioner · Wentzville, MO
Provider details
- NPI number
- 1447100862
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2020022320 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 White Orchid Ct
Wentzville, MO 63385-4975
Phone: (573) 825-2415
Approximate (ZIP-level) locationGet directions
Mailing address
333 White Orchid Ct
Wentzville, MO 63385-4975
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.