Individual provider · Type 1 NPI

Andrew Edward Kreutzer

Nurse Practitioner · Lake St. Louis, MO

NPI number 1811858053 Active

Practice location

100 Medical Plz
Lake St. Louis, MO 63367-1366

Call (636) 625-5200 Map

Mailing address

4413 Thicket Dr
Oakville, MO 63129-3730

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2015022724 (MO)
Internal Medicine Physician	207R00000X	2025046992 (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 1811858053

Andrew Edward Kreutzer's National Provider Identifier is 1811858053, issued on Nov 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Feb 20, 2026.