Individual provider · Type 1 NPI

Mary Withoelter, NURSE PRACTITIONER

Nurse Practitioner · Ofallon, MO

NPI number 1982188389 Active

Practice location

2630 State Highway K
Ofallon, MO 63368

Fax (636) 980-5344

Mailing address

PO Box 959354
St. Louis, MO 63195-9354

Other practice locations

  • 9556 Manchester Rd, St. Louis, MO 63119-1313 · (314) 373-5740

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2019033706 (MO)
Family Nurse Practitioner 363LF0000X2019033706 (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…

7 other providers at this address

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About NPI 1982188389

Mary Withoelter, NURSE PRACTITIONER's National Provider Identifier is 1982188389, issued on Sep 20, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ofallon, MO. The record was last updated on Sep 18, 2025.