Healthcare Provider Details

I. General information

NPI: 1255225207
Provider Name (Legal Business Name): NATALIE NIEHOFF DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N NEW BALLAS RD STE 270
SAINT LOUIS MO
63141-6836
US

IV. Provider business mailing address

450 N NEW BALLAS RD STE 270
SAINT LOUIS MO
63141-6836
US

V. Phone/Fax

Practice location:
  • Phone: 314-991-6969
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025011937
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: