IndividualActive
Chidimma Nwankwo
NPI 1861127136 · Primary Care Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1861127136
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2022012139 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 761-5456
Approximate (ZIP-level) locationGet directions
Mailing address
2185 Wildwood Meadows Ct
Wildwood, MO 63005-6634
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.