Individual provider · Type 1 NPI
Esen Antakli, AGNP
Gerontology Nurse Practitioner · St. Louis, MO
NPI number
1962869990
Active
Practice location
12855 N 40 Dr Ste 275
St. Louis, MO 63141-8667
Mailing address
PO Box 412024
Creve Coeur, MO 63141-2024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2016001674 (MO) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1962869990
Esen Antakli, AGNP's National Provider Identifier is 1962869990, issued on Jan 21, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Apr 21, 2026.