OrganizationActive
On-Line Training Center,inc.
NPI 1821403304 · Peritoneal Dialysis Registered Nurse · Ferguson, MO
Provider details
- NPI number
- 1821403304
- Entity type
- Organization
- Primary specialty
- Peritoneal Dialysis Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Delores Gregory, Director(314) 522-3077
Specialties & taxonomies
Nursing Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
- Continence Care Registered Nurse163WC2100X
Nursing Service Providers
- Diabetes Educator Registered Nurse163WD0400X
Nursing Service Providers
Practice location
1552 Knollway Dr
Ferguson, MO 63135-1406
Phone: (314) 522-3077
Fax: (314) 381-3311
Approximate (ZIP-level) locationGet directions
Mailing address
1552 Knollway Dr
Ferguson, MO 63135-1406
Other names (DBA / former)
- Other name
- Oltc
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2014-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.