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

KELLI P WIETHUCHTER, FNP

Active

KELLI P WIETHUCHTER, FNP is a Nurse Practitioner healthcare provider located in SAINT LOUIS, Missouri. NPI 1720515398 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SAINT LOUIS, MO

Registration Details

NPI Number
1720515398
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2017 (9.2585278866381 yrs)
Last Updated
May 13, 2025
Licenses
201603977 (MO)
2016039777 (MO)
209023299 (IL)
2016039777 (MO)

Practice Information

Address
4921 PARKVIEW PL
SAINT LOUIS, MO, 631101032
Browse MO providers · Browse ZIP 63110
Phone
3144548134
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SAINT LOUIS, MO

Name Credential NPI
MR. FRANK E KRAJCZAR ANP 1922002484
DIANE STIERWALT CNP 1194722645
MS. NATALIE A BRYANT ACNP 1396744207
MISS IRMA JEAN PERKINS ARPN, MSN 1053312611
MRS. DEBORAH G LOMAN CPNP PHD 1720089246
MS. BRENDA K POGUE ANP 1417944646
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.