Healthcare Provider Details

I. General information

NPI: 1366392417
Provider Name (Legal Business Name): MRS. THU VU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3217 LEMAY FERRY RD
SAINT LOUIS MO
63125-4419
US

IV. Provider business mailing address

4670 LANSDOWNE AVE
SAINT LOUIS MO
63116-1523
US

V. Phone/Fax

Practice location:
  • Phone: 314-329-6099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: