Individual provider · Type 1 NPI

Susan Gryzmala

Nurse Practitioner · St. Louis, MO

NPI number 1023975075 Active

Practice location

6400 Clayton Rd Ste 216
St. Louis, MO 63117-1850

Mailing address

3453 S Illinois Ave
Carbondale, IL 62903-8363

Other practice locations

  • 3453 S Illinois Ave, Carbondale, IL 62903-8363 · (618) 771-1108

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2026001005 (MO)
Family Nurse Practitioner 363LF0000X2026001005 (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…

4 other providers at this address

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About NPI 1023975075

Susan Gryzmala's National Provider Identifier is 1023975075, issued on Jan 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 13, 2026.