Healthcare Provider Details

I. General information

NPI: 1972423630
Provider Name (Legal Business Name): KAMRIE SUE MEYER AGPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 WATER TOWER PL
ARNOLD MO
63010-2142
US

IV. Provider business mailing address

615 S NEW BALLAS RD
SAINT LOUIS MO
63141-8221
US

V. Phone/Fax

Practice location:
  • Phone: 636-282-9899
  • Fax:
Mailing address:
  • Phone: 314-251-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2026005121
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: