Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WOGENE AMSALU
Active Sole ProprietorWOGENE AMSALU is a Primary Care Nurse Practitioner healthcare provider located in OVERLAND, Missouri. NPI 1184091431 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · OVERLAND, MO
Registration Details
- NPI Number
- 1184091431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2015 (10.936093557272 yrs)
- Last Updated
- May 11, 2022
- Licenses
-
2002031108 (MO)2018001284 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9628 MIDLAND BLVDOVERLAND, MO, 631143357Browse MO providers · Browse ZIP 63114
- Phone
- 3147796022
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
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.