Individual provider · Type 1 NPI

Afsaneh Rezaeizadeh

Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO

NPI number 1902589062 Active

Practice location

2055 Craigshire Dr Ste 410
St. Louis, MO 63146-4012

Fax (314) 949-8843

Mailing address

2055 Craigshire Dr
St. Louis, MO 63146-4036

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X1129729 (TX)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2025053306 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902589062

Afsaneh Rezaeizadeh's National Provider Identifier is 1902589062, issued on Aug 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on Jun 10, 2026.