Individual provider · Type 1 NPI

Pamela Wingo, LPN

Licensed Practical Nurse · Hazelwood, MO

NPI number 1770134959 Active

Practice location

6110 Howdershell Rd
Hazelwood, MO 63042-1170

Mailing address

4166 Lindell Blvd Ste 1B
St. Louis, MO 63108-2923

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Licensed Practical Nurse Primary 164W00000X2009031393 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5 other providers at this address

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About NPI 1770134959

Pamela Wingo, LPN's National Provider Identifier is 1770134959, issued on Sep 27, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hazelwood, MO. The record was last updated on Sep 27, 2019.