Individual provider · Type 1 NPI
Lyssa Lynn Atwell, ACNP
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1609716463
Active
Practice location
1402 S Grand Blvd
St. Louis, MO 63104-1004
Mailing address
One Grand Boulevard
St. Louis, MO 63103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2026008972 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 2026008972 (MO) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2026008972 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609716463
Lyssa Lynn Atwell, ACNP's National Provider Identifier is 1609716463, issued on Mar 31, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2026.