IndividualActive
Charles Phelan
NPI 1467275487 · Acute Care Nurse Practitioner · Creve Coeur, MO
Provider details
- NPI number
- 1467275487
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015045012 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
615 S New Ballas Rd
Creve Coeur, MO 63141-8221
Phone: (314) 251-6000
Approximate (ZIP-level) locationGet directions
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.