Individual provider · Type 1 NPI

Marcella M. Petzchen, NP

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1255393716 Active

Practice location

3660 Vista Ave, Suite 207
St. Louis, MO 63110-2540

Fax (314) 977-6137

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X051062 (MO)
Primary Care Nurse Practitioner 363LP2300X051062 (MO)
Women's Health Nurse Practitioner 363LW0102X051062 (MO)
Adult Health Nurse Practitioner Primary 363LA2200X051062 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255393716

Marcella M. Petzchen, NP's National Provider Identifier is 1255393716, issued on Apr 3, 2006. 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 Aug 4, 2025.