IndividualActive
Chanel Wishnuff
NPI 1770457632 · Women's Health Nurse Practitioner · Wentzville, MO
Provider details
- NPI number
- 1770457632
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2025043137 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4708 Providence Woods Cir
Wentzville, MO 63385-3708
Phone: (636) 352-7789
Approximate (ZIP-level) locationGet directions
Mailing address
4708 Providence Woods Cir
Wentzville, MO 63385-3708
Registry dates
- Enumerated
- 2025-10-02
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.