Healthcare Provider Details

I. General information

NPI: 1386583375
Provider Name (Legal Business Name): ANNA SEYMOUR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA KROEGER

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 WATSON RD
SAINT LOUIS MO
63119-9804
US

IV. Provider business mailing address

7345 WATSON RD
SAINT LOUIS MO
63119-9804
US

V. Phone/Fax

Practice location:
  • Phone: 314-752-7100
  • Fax:
Mailing address:
  • Phone: 314-752-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2021005128
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: