ELITE SURGICAL ASSISTING LLC NPI 1154793248

NPI Information

NPI: 1154793248
Provider Name: ELITE SURGICAL ASSISTING LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2355 DOUGHERTY FERRY RD STE 430
SAINT LOUIS, MO
ZIP 63122
Phone: (888) 826-4546
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ELITE SURGICAL ASSISTING LLC is a family nurse practitioner in Saint Louis, MO. ELITE SURGICAL ASSISTING LLC NPI is 1154793248. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2355 DOUGHERTY FERRY RD STE 430
SAINT LOUIS, MO
ZIP 63122-325
Phone: (888) 826-4546
Fax: (888) 826-4546

The provider's authorized official is Darin M. Minkin .
The authorized official title is Administrator and has the following contact phone number (314) 965-8622.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 12/7/2018.

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
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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