Leah W Wangui, FNP Valid NPI
Individual provider · Family Nurse Practitioner · O Fallon, MO
- NPI
- 1053822551
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 2017030468 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-10-24
- Last updated
- 2017-10-24
Practice location
225 Mystic Cv
O Fallon, MO 63368-9654
(314) 583-4665