Individual provider · Type 1 NPI
Susan E. Mitchell-Derenski, WHNP
Women's Health Nurse Practitioner · St. Louis, MO
NPI number
1629329578
Active
Practice location
4901 Forest Park Ave, Div Obgyn Family Planning, Ste 710
St. Louis, MO 63108-1495
Fax (888) 315-6494
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 2012036251 (MO) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1629329578
Susan E. Mitchell-Derenski, WHNP's National Provider Identifier is 1629329578, issued on Oct 1, 2012. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.