Individual provider · Type 1 NPI

Nickolai C. Detert, DNP, FNP-C

Nurse Practitioner · St. Louis, MO

NPI number 1154987097 Active

Practice location

4921 Parkview Pl Ste 14A
St. Louis, MO 63110-1032

Call (314) 454-8778 Map

Other practice locations

  • 12680 Olive Blvd Ste 300, St. Louis, MO 63141-6322 · (314) 251-0451

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2019019665 (MO)
Nurse Practitioner Primary 363L00000X2019019665 (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…

2 other providers at this address

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About NPI 1154987097

Nickolai C. Detert, DNP, FNP-C's National Provider Identifier is 1154987097, issued on May 16, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 16, 2022.