Healthcare Provider Details

I. General information

NPI: 1346115433
Provider Name (Legal Business Name): ZACHARY VOSS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4581 GRAVOIS RD
HOUSE SPRINGS MO
63051-1374
US

IV. Provider business mailing address

14581 GRAVOIS RD.
HOUSE SPRINGS MO
63051-1374
US

V. Phone/Fax

Practice location:
  • Phone: 636-671-9980
  • Fax: 636-671-9981
Mailing address:
  • Phone: 636-671-9980
  • Fax: 636-671-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025044015
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: