IndividualActive
Bonnie Johnston, ANP
NPI 1487106399 · Adult Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1487106399
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 2012016906 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11700 Studt Ave
Saint Louis, MO 63141-7031
Phone: (314) 989-1181
Fax: (314) 989-1441
Approximate (ZIP-level) locationGet directions
Mailing address
11700 Studt Ave
Saint Louis, MO 63141-7031
Registry dates
- Enumerated
- 2016-10-26
- Last updated
- 2018-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.