Provider Demographics
NPI:1457480915
Name:AHRENS, ANNA M (ANP)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:M
Last Name:AHRENS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-1291
Mailing Address - Fax:314-454-8855
Practice Address - Street 1:3015 N BALLAS RD
Practice Address - Street 2:DIV IM CARDIOLOGY, STE 225
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2329
Practice Address - Country:US
Practice Address - Phone:314-362-1291
Practice Address - Fax:314-454-8855
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO141504363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO428347801Medicaid