Individual provider · Type 1 NPI

Rosa M. Prouhet, CNP

Primary Care Nurse Practitioner · St. Louis, MO

NPI number 1578629945 Active

Practice location

1 Jefferson Barracks Dr Bldg 55
St. Louis, MO 63125-4181

Fax (314) 894-6614

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X075775-23 (NH)
Registered Nurse 163W00000X075775-21 (NH)
Registered Nurse 163W00000X041275771 (IL)
Nurse Practitioner 363L00000X124452 (MO)
Nurse Practitioner 363L00000X209006099 (IL)
Registered Nurse 163W00000X124452 (MO)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1578629945

Rosa M. Prouhet, CNP's National Provider Identifier is 1578629945, issued on Dec 29, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Louis, MO. The record was last updated on Dec 9, 2025.