Organization · Type 2 NPI
Benedictines of LDW Clinic
Nurse Practitioner · St. Louis, MO
Practice location
3536 Connecticut St
St. Louis, MO 63118-2074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None 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 1154213486
Benedictines of LDW Clinic's National Provider Identifier is 1154213486, issued on Jul 21, 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 May 18, 2026.