Individual provider · Type 1 NPI

Stephanie Nugrahennie, MD

Electroneurodiagnostic Specialist/Technologist · St. Louis, MO

NPI number 1669241774 Active

Practice location

6642 Clayton Rd # 403
St. Louis, MO 63117-1602

Call (314) 332-7754 Map

Mailing address

299 Debaliviere Ave, #311
St. Louis, MO 63112

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

5 other providers at this address

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About NPI 1669241774

Stephanie Nugrahennie, MD's National Provider Identifier is 1669241774, issued on Dec 29, 2023. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in St. Louis, MO. The record was last updated on Dec 29, 2023.