DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILSON GACHUGU NDUNGU, NP

Active Sole Proprietor

WILSON GACHUGU NDUNGU, NP is a Nurse Practitioner healthcare provider located in HAZELWOOD, Missouri. NPI 1013475599 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · HAZELWOOD, MO

Registration Details

NPI Number
1013475599
Provider Type
Individual
Gender
Male
NPI Issued
Mar 4, 2019 (7.4073289727654 yrs)
Last Updated
Nov 5, 2020
Licenses
2019003626 (MO)
2019003626 (MO)
2019003626 (MO)
2019003626 (MO)
Sole Proprietor
Yes

Practice Information

Address
4 HAZELWOOD LN
HAZELWOOD, MO, 630422711
Browse MO providers · Browse ZIP 63042
Phone
3144259453
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in HAZELWOOD, MO

Name Credential NPI
CARLA MOORE BECKERLE ANP 1457458234
MARY K JACKSON NURSE PRACTITIONER 1245358043
JULIE ANN SHELTON NP-C 1134625999
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.