Individual provider · Type 1 NPI

Elizabeth Diane Gwin, NP

Nurse Practitioner · St. Louis, MO

NPI number 1154839843 Active

Practice location

100 S 4th St Ste 550
St. Louis, MO 63102-1897

Call (866) 849-0692 Map

Mailing address

PO Box 211699
Eagan, MN 55121-3699

Other practice locations

  • 5604 E Park Pl, Strafford, MO 65757-9057 · (417) 299-0767

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XSP036840 (PA)
Nurse Practitioner 363L00000XCAPN.0107440C-NP (CO)
Nurse Practitioner 363L00000X42866 (TN)
Nurse Practitioner 363L00000X1245594 (TX)
Nurse Practitioner Primary 363L00000X2018001289 (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…

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About NPI 1154839843

Elizabeth Diane Gwin, NP's National Provider Identifier is 1154839843, issued on Jan 16, 2018. 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 27, 2026.