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: 05/01/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 N BALLAS RD DIV IM CARDIOLOGY, STE 225
SAINT LOUIS MO
63131-2329
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1291
  • Fax: 314-454-8855
Mailing address:
  • Phone: 314-362-1291
  • Fax: 314-454-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number141504
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: