MEDICARE: ANN MARIE WAY DNP, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2025045247	MO

General Provider Information

NPI Number	:	1285599480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE WAY DNP, APRN

Provider Business Mailing Address
First Line	:	6763 PAGE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6763 PAGE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-1635
Country	:	US
Telephone Number	:	314-898-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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