MISS PAULA JEAN DERUNTZ NP
NPI 1154388122
Nurse Practitioner - Acute Care in St. Louis, MO

Active since April 26, 2006
915 NORTH GRAND BLVD, VA MEDICAL CENTER, ST. LOUIS, MO 63106(314) 289-6407 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Paula Jean Deruntz Np NPPES

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

MISS PAULA JEAN DERUNTZ NP (NPI 1154388122) is an individual acute care provider in St. Louis, Missouri, licensed in Missouri (103221) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1154388122
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMISS PAULA JEAN DERUNTZCredential: NP
Location Address915 NORTH GRAND BLVD, VA MEDICAL CENTERSt. Louis, MO 63106
Mailing Address6330 Lansdowne AveSaint Louis, MO 63109-2217 · (314) 457-8324
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 6, 2024
NPPES CertifiedApril 6, 2024
NPI 1154388122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 103221
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 103221 (MO)
915 NORTH GRAND BLVD, St. Louis, MO 63106

Other Providers at the Same Location NPPES

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

Pharmacist
915 NORTH GRAND BLVD
SAINT LOUIS, MO 63106

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 Paula Deruntz's NPI number?

The NPI number for Paula Deruntz is 1154388122. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Paula Deruntz located?

Paula Deruntz practices at 915 North Grand Blvd VA Medical Center, St. Louis, MO 63106. The listed phone number is (314) 289-6407.

What is Paula Deruntz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Paula Deruntz was last updated on April 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.