IndividualActive
Allyson Granden, NP-C
NPI 1649735176 · Adult Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1649735176
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2018038914 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12266 Depaul Drive
Suite 205
Saint Louis, MO 63044-2727
Phone: (314) 218-2300
Fax: (314) 646-1700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.