Individual provider · Type 1 NPI
Elena Kozaryuk
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1255088191
Active
Practice location
11716 Studt Ave
St. Louis, MO 63141-7018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2020037156 (MO) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1255088191
Elena Kozaryuk's National Provider Identifier is 1255088191, issued on Mar 9, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Mar 9, 2022.