Healthcare Provider Details

I. General information

NPI: 1033590740
Provider Name (Legal Business Name): MEGAN L WREN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN L VOIGTMANN FNP-BC

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 CLAYTON RD
CLAYTON MO
63117-1103
US

IV. Provider business mailing address

8101 CLAYTON RD
CLAYTON MO
63117-1103
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 314-298-3893
  • Fax: 314-851-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014041446
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: