Individual provider · Type 1 NPI
Elizabeth Burton Walden- Prater, AGNP
Nurse Practitioner · St. Louis, MO
Practice location
1044 N Mason Rd, Div Im General Med, Ste 330
St. Louis, MO 63141-6431
Fax (314) 996-3230
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2018004474 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003323288
Elizabeth Burton Walden- Prater, AGNP's National Provider Identifier is 1003323288, issued on Jan 9, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 21, 2025.