Individual provider · Type 1 NPI

Elizabeth Anne Niederschulte, AGNP

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1679043665 Active

Practice location

1020 N Mason Rd, Div Im Cardiology, Ste 100
St. Louis, MO 63141-6666

Fax (314) 996-3268

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2018039908 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1679043665

Elizabeth Anne Niederschulte, AGNP's National Provider Identifier is 1679043665, issued on Dec 3, 2018. 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 Apr 17, 2025.