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ANNA ELIZABETH NICHOLS AGNP-C
NPI 1740964220
Nurse Practitioner - Primary Care in Ballwin, MO

Active since June 14, 2023
15945 CLAYTON RD STE 120, BALLWIN, MO 63011(636) 256-5000 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jun 14, 2023 (2 updates tracked since 2023).

About Anna Elizabeth Nichols Agnp-c NPPES

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

ANNA ELIZABETH NICHOLS AGNP-C (NPI 1740964220) is an individual primary care provider in Ballwin, Missouri, licensed in Missouri (2023019231) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1740964220
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANNA ELIZABETH NICHOLSCredential: AGNP-C
Location Address15945 CLAYTON RD STE 120Ballwin, MO 63011-2490
Mailing Address15945 Clayton Rd Ste 120Ballwin, MO 63011-2490 · (636) 256-5000
Phone(636) 256-5000
Sole ProprietorNo
Enumeration DateJune 14, 2023
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1740964220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MO · 2023019231
15945 CLAYTON RD STE 120, Ballwin, MO 63011
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Other Providers at the Same Location NPPES 5

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

DR. NISHANT PODDAR MD
Internal Medicine (Medical Oncology)
15945 CLAYTON RD STE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000
SAMIR MUKUNDRAY DALIA MD
Internal Medicine (Hematology & Oncology)
15945 CLAYTON RD STE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000
PASCALE A. SALEM MD
Internal Medicine (Hematology & Oncology)
15945 CLAYTON RD STE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000
MRS. LINDSEY M MCCARTHY FNP
Nurse Practitioner (Family)
15945 CLAYTON RD STE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000
DR. SARAH EDWARDS COLWICK M.D.
Surgery
15945 CLAYTON RD STE 120
BALLWIN, MO 63011
St. Louis County (636) 256-5000

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 Anna Nichols's NPI number?

The NPI number for Anna Nichols is 1740964220. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Anna Nichols located?

Anna Nichols practices at 15945 Clayton Rd Ste 120, Ballwin, MO 63011. The listed phone number is (636) 256-5000.

What is Anna Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Anna Nichols was last updated on August 30, 2023. 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.