Individual provider · Type 1 NPI

Elizabeth J. Nicolli, RN, CPNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1801100615 Active

Practice location

456 N New Ballas Rd, Suite 304
St. Louis, MO 63141-6879

Fax (314) 567-0578

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X121629 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801100615

Elizabeth J. Nicolli, RN, CPNP's National Provider Identifier is 1801100615, issued on Aug 4, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Aug 4, 2010.