Individual provider · NPI-1
Maureen Awuor Abongo, DNP
Nurse Practitioner · Saint Louis, MO
NPI number1225819048
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1225819048
- Entity type
- Individual (NPI-1)
- Name
- Maureen Awuor Abongo
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2023
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2023039046 | MO | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 2023039046 | MO | |
| 363LG0600X | Nurse Practitioner, Gerontology | 2023039046 | MO |
Practice location
11133 Dunn Rd Ste 2427Saint Louis, MO 63136-6163
Phone 314-653-5643 · Fax 146-535-6483
Mailing address
660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512
Phone 314-448-3791 · Fax 314-996-7658
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