Individual provider · NPI-1

Loren Ann Abernathy, PNP

Nurse Practitioner, Pediatrics · Saint Louis, MO

NPI number1215583117
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1215583117
Entity type
Individual (NPI-1)
Name
Ms. Loren Ann Abernathy
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2019
Certification date
Oct 11, 2024
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics2019018278MOYes

Practice location

1 Childrens Pl
Div Ped Hematology And Onc
Saint Louis, MO 63110-1002

Phone 314-454-6018 · Fax 844-621-4392

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-454-6018 · Fax 844-621-4392

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