GINA IHEONU UZENDU ANP NPI 1740481142

NPI Information

NPI: 1740481142
Provider Name: GINA IHEONU UZENDU, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PHYSICIAN GROUPS LC

PECOS Registration: Yes

Address:
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 996-4545
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Gina Iheonu Uzendu, ANP is an adult health nurse practitioner in Saint Louis, MO with 24 years of experience. Gina Iheonu Uzendu, ANP NPI is 1740481142. 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:

3009 N BALLAS RD STE 383C
SAINT LOUIS, MO
ZIP 63131-324
Phone: (314) 996-4545
Fax: (314) 996-4546

The NPI 1740481142 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 5/31/2007 and was last updated on 3/29/2021.

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	363L00000X	Nurse Practitioner		200163259	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	2000163259	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1740481142	MEDICAID	MISSOURI

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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