Provider Type Icon

UNIVERSITY OF MISSOURI ST. LOUIS NPI 1104047141


NPI Information

NPI: 1104047141
Provider Name: UNIVERSITY OF MISSOURI ST. LOUIS

Other Name: UNIVERSITY HEALTH SERVICES

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 26D0962897

Address:
1 UNIVERSITY BLVD
MILLENIUM STUDENT CENTER 131
SAINT LOUIS, MO
ZIP 63121
Phone: (314) 516-5671
Get Directions

UNIVERSITY OF MISSOURI ST. LOUIS is a family nurse practitioner in Saint Louis, MO. UNIVERSITY OF MISSOURI ST. LOUIS NPI is 1104047141. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is University Health Services.

The provider's business location address is:

1 UNIVERSITY BLVD
MILLENIUM STUDENT CENTER 131
SAINT LOUIS, MO
ZIP 63121-400
Phone: (314) 516-5671

The provider's authorized official is Nancy Magnuson .
The authorized official title is Asst. Vice Provost Student Affairs and has the following contact phone number (314) 516-5671.

The CLIA number assigned to this NPI record is 26D0962897 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily134958MISSOURIYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.