Individual provider · Type 1 NPI
Vijayalakshmi Divakaran, ARNP, BC
Nurse Practitioner · St. Louis, MO
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2002031628 (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 1972787398
Vijayalakshmi Divakaran, ARNP, BC's National Provider Identifier is 1972787398, issued on Dec 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 10, 2025.