Individual provider · Type 1 NPI

Emily Katherine Wambold, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1962672568 Active

Practice location

1 Childrens Pl, Third Floor
St. Louis, MO 63110-1002

Call (314) 454-6162 Map

Fax (314) 454-2174

Mailing address

660 S Euclid Ave, C B 8115
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2004017952 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962672568

Emily Katherine Wambold, PNP's National Provider Identifier is 1962672568, issued on Mar 10, 2008. 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 Jul 16, 2009.