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NPI Code Detail

MEDICARE: ASHLEY RENFROW AGNP

MEDICARE: ASHLEY RENFROW AGNP
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
1363L00000XNurse Practitioner2015040117MO

General Provider Information

NPI Number : 1831563899
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY RENFROW AGNP
Provider Business Mailing Address
First Line : 1 CITYPLACE DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-7014
Country : US
Telephone Number : 314-514-6000
Fax Number :
Provider Business Practice Location Address
First Line : 10 HOSPITAL DR
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-1659
Country : US
Telephone Number : 636-344-1065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 04/08/2026

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