Healthcare Provider Details

I. General information

NPI: 1558126813
Provider Name (Legal Business Name): ABBRIEL PEPPLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ABBIE PEPPLER FNP

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 PROFESSIONAL DR STE 300
IMPERIAL MO
63052-3809
US

IV. Provider business mailing address

660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS MO
63141-8512
US

V. Phone/Fax

Practice location:
  • Phone: 314-953-6801
  • Fax: 314-953-8272
Mailing address:
  • Phone: 314-448-3791
  • Fax: 314-996-7658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024005888
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2024005888
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: