Individual provider · Type 1 NPI
Shannon Suzanne Grayek, AGPC, NP
Adult Health Nurse Practitioner · Chesterfield, MO
NPI number
1124764477
Active
Practice location
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Fax (314) 364-6350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2022004494 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 2022004494 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124764477
Shannon Suzanne Grayek, AGPC, NP's National Provider Identifier is 1124764477, issued on May 10, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chesterfield, MO. The record was last updated on May 10, 2022.