Healthcare Provider Details

I. General information

NPI: 1831595198
Provider Name (Legal Business Name): GINA MARIE FERRANTE ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 04/17/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 JUNGERMANN CIR DIV NEUROLOGY STROKE, STE 203
SAINT PETERS MO
63376-1622
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-7382
  • Fax: 314-747-3342
Mailing address:
  • Phone: 314-362-7382
  • Fax: 314-747-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2014040921
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: