WOGENE AMSALU NPI 1184091431

NPI Information

  • NPI: 1184091431
  • Provider Name: WOGENE AMSALU
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9628 MIDLAND BLVD
    OVERLAND, MO
    ZIP 63114
  • Phone: (314) 779-6022

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NPI Details

Wogene Amsalu is a primary care nurse practitioner in Overland, MO. Wogene Amsalu NPI is 1184091431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9628 MIDLAND BLVD
OVERLAND, MO
ZIP 63114-357
Phone: (314) 779-6022

The NPI 1184091431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2015 and was last updated on 5/11/2022.

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
1163W00000XRegistered Nurse2002031108MISSOURINo
2363LP2300XNurse PractitionerPrimary Care2018001284MISSOURIYes

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

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