WOUNDBRIDGE MEDICAL LLC NPI 1013827849

NPI Information

  • NPI: 1013827849
  • Provider Name: WOUNDBRIDGE MEDICAL LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 4132 90TH AVE
    FLORISSANT, MO
    ZIP 63034
  • Phone: (314) 497-6638

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NPI Details

WOUNDBRIDGE MEDICAL LLC is an adult health nurse practitioner in Florissant, MO. WOUNDBRIDGE MEDICAL LLC NPI is 1013827849. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4132 90TH AVE
FLORISSANT, MO
ZIP 63034-133
Phone: (314) 497-6638

The provider's authorized official is Latania Hudson .
The authorized official title is Nurse Practitioner and has the following contact phone number (314) 497-6638.

The enumeration date for this NPI number is 9/11/2026 and was last updated on 9/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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