Healthcare Provider Details

I. General information

NPI: 1558843755
Provider Name (Legal Business Name): VICTORIA GELFAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 CLAYTON RD STE 303
SAINT LOUIS MO
63117-1850
US

IV. Provider business mailing address

6400 CLAYTON RD STE 303
SAINT LOUIS MO
63117-1850
US

V. Phone/Fax

Practice location:
  • Phone: 314-647-6666
  • Fax: 314-647-2600
Mailing address:
  • Phone: 314-647-6666
  • Fax: 314-647-2600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018032397
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: