NPIRadar

Wilson Gachugu Ndungu, NP Valid NPI

Individual provider · Adult Health Nurse Practitioner · Hazelwood, MO

NPI
1013475599
Type
Individual (Type 1)
Primary specialty
Adult Health Nurse Practitioner (Nurse Practitioner)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363LA2200X
License number
209020137 (IL)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-03-04
Last updated
2026-04-14
Practice location
4 Hazelwood Ln
Hazelwood, MO 63042-2711
(314) 425-9453

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