Individual provider · Type 1 NPI

Abisola E. Abimbola

Family Nurse Practitioner · St. Louis, MO

NPI number 1083440457 Active

Practice location

7334 S Lindbergh Blvd
St. Louis, MO 63125-4522

Mailing address

6015 Staely Ave
St. Louis, MO 63123-3460

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2024037599 (MO)
Registered Nurse 163W00000X041.447832 (IL)
Family Nurse Practitioner 363LF0000X209.030308 (IL)
Family Nurse Practitioner Primary 363LF0000X2024039031 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1083440457

Abisola E. Abimbola's National Provider Identifier is 1083440457, issued on Sep 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 11, 2024.