Individual provider · Type 1 NPI
Wilson Gachugu Ndungu, NP
Adult Health Nurse Practitioner · Hazelwood, MO
NPI number
1013475599
Active
Practice location
4 Hazelwood Ln
Hazelwood, MO 63042-2711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2019003626 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 209020137 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 2019003626 (MO) |
| Nurse Practitioner | 363L00000X | 2019003626 (MO) |
| Adult Health Nurse Practitioner | 363LA2200X | 2019003626 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209020137 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209020137 (IL) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Hazelwood
About NPI 1013475599
Wilson Gachugu Ndungu, NP's National Provider Identifier is 1013475599, issued on Mar 4, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hazelwood, MO. The record was last updated on Apr 14, 2026.