IndividualActive
Andrea Mouldon, PNP
NPI 1942508783 · Pediatric Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1942508783
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2010016423 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3737 N Kingshighway Blvd
Ste 209
Saint Louis, MO 63115-1736
Phone: (314) 261-5250
Fax: (314) 261-4567
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412039
Chicago, IL 60674-2039
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.