Individual provider · Type 1 NPI
Charles Phelan
Acute Care Nurse Practitioner · Creve Coeur, MO
NPI number
1467275487
Active
Practice location
615 S New Ballas Rd
Creve Coeur, MO 63141-8221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2015045012 (MO) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2024049964 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1467275487
Charles Phelan's National Provider Identifier is 1467275487, issued on Nov 7, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Creve Coeur, MO. The record was last updated on Dec 27, 2024.