Individual provider · Type 1 NPI

Kerry Marie Gangloff, NP

Nurse Practitioner · St. Louis, MO

NPI number 1962921353 Active

Practice location

4921 Parkview Pl
St. Louis, MO 63110-1032

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2017030828 (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 1962921353

Kerry Marie Gangloff, NP's National Provider Identifier is 1962921353, issued on Sep 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2025.