Healthcare Provider Details

I. General information

NPI: 1457480915
Provider Name (Legal Business Name): ANNA M AHRENS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3844 S LINDBERGH BLVD STE 220
SAINT LOUIS MO
63127-1369
US

IV. Provider business mailing address

PO BOX 959354
SAINT LOUIS MO
63195-9354
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-7272
  • Fax: 314-996-6785
Mailing address:
  • Phone: 314-996-7272
  • Fax: 314-996-6785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number141504
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number141504
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: