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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

STEPHANIE OLOMUKORO
NPI 1073434163
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since July 23, 2026
13675 EVERGREEN GLEN DR, SAINT LOUIS, MO 63128(901) 569-6062 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Olomukoro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE OLOMUKORO (NPI 1073434163) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2020016556) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1073434163
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE OLOMUKORO
Location Address13675 EVERGREEN GLEN DRSaint Louis, MO 63128-4273
Mailing Address13675 Evergreen Glen DrSaint Louis, MO 63128-4273 · (901) 569-6062
Phone(901) 569-6062
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1073434163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2020016556
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
13675 EVERGREEN GLEN DR, Saint Louis, MO 63128
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMEPLACE HEALTHCARE LLC
Home Health
13675 EVERGREEN GLEN DR
SAINT LOUIS, MO 63128
St. Louis County (410) 574-4955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Olomukoro's NPI number?

The NPI number for Stephanie Olomukoro is 1073434163. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Stephanie Olomukoro located?

Stephanie Olomukoro practices at 13675 Evergreen Glen Dr, Saint Louis, MO 63128. The listed phone number is (901) 569-6062.

What is Stephanie Olomukoro's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Stephanie Olomukoro was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.