Individual provider · Type 1 NPI

Ellen Claire Carlson, AGNP

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1649782269 Active

Practice location

625 S New Ballas Rd Ste 2015
St. Louis, MO 63141-8253

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2017038788 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1649782269

Ellen Claire Carlson, AGNP's National Provider Identifier is 1649782269, issued on Nov 5, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Jan 30, 2023.