Ndungu, Wilson Gachugu

Ndungu, Wilson Gachugu is an sole proprietor health care provider with primary practice located at 4 Hazelwood Ln , Hazelwood MO 63042-2711. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ndungu, Wilson Gachugu can be contacted via phone (314) 425-9453.

Contact Information

Primary practice address
4 Hazelwood Ln Hazelwood MO 63042-2711
Phone: (314) 425-9453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2019003626 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2019003626 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2019003626 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019003626 Missouri

Profile Details

NPI number 1013475599
LBN Legal business name Ndungu, Wilson Gachugu
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2019
Last updated Nov 5th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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