Individual provider · Type 1 NPI
Kelli P. Wiethuchter, FNP
Nurse Practitioner · St. Louis, MO
Practice location
4921 Parkview Pl
St. Louis, MO 63110-1032
Mailing address
1149 Woodgate Dr
Kirkwood, MO 63122-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 201603977 (MO) |
| Family Nurse Practitioner | 363LF0000X | 2016039777 (MO) |
| Nurse Practitioner | 363L00000X | 209023299 (IL) |
| Nurse Practitioner Primary | 363L00000X | 2016039777 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1720515398
Kelli P. Wiethuchter, FNP's National Provider Identifier is 1720515398, issued on May 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on May 13, 2025.