Individual provider · Type 1 NPI

Martha J. Koenegstein, CPNP

Pediatric Nurse Practitioner · Bridgeton, MO

NPI number 1336194539 Active

Practice location

12303 Depaul Drive
Bridgeton, MO 63044

Mailing address

1836 Lackland Hill Pkwy, Attention: Credentialing Supervisor
St. Louis, MO 63146-3572

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X134466 (MO)

Pediatric Nurse Practitioner: Definition to come...

39 other providers at this address

Other pediatric nurse practitioner providers in Bridgeton

See all in Bridgeton →

About NPI 1336194539

Martha J. Koenegstein, CPNP's National Provider Identifier is 1336194539, issued on May 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bridgeton, MO. The record was last updated on Jul 13, 2026.