Organization · Type 2 NPI

Healthcare Mentorship LLC

Nurse Practitioner · St. Louis, MO

NPI number 1023820032 Active

Practice location

12855 N 40 Dr Ste 205
St. Louis, MO 63141-8670

Mailing address

12747 Olive Blvd Ste 300
Creve Coeur, MO 63141-6269

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1023820032

Healthcare Mentorship LLC's National Provider Identifier is 1023820032, issued on Jan 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 30, 2026.