IndividualActive
Anna Nichols, AGNP-C
NPI 1740964220 · Primary Care Nurse Practitioner · Ballwin, MO
Provider details
- NPI number
- 1740964220
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2023019231 (MO)
Practice location
15945 Clayton Rd Ste 120
Ballwin, MO 63011-2490
Phone: (636) 256-5000
Mailing address
15945 Clayton Rd Ste 120
Ballwin, MO 63011-2490
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.