Stephanie Nugrahennie, MD

Electroneurodiagnostic Specialist/Technologist · Saint Louis, MO

Individual Active NPI

NPI number 1669241774

Practice location

6642 Clayton Rd # 403
Saint Louis, MO 63117-1602
Phone
(314) 332-7754

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NPI record

NPI
1669241774
Entity type
Individual (Type 1)
Enumeration date
December 29, 2023
Last updated
December 29, 2023
Certified
December 27, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X — —

Mailing address

299 Debaliviere Ave
#311
Saint Louis, MO 63112
Phone
(314) 332-7754

About Dr. Nugrahennie

Stephanie Nugrahennie, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Electroneurodiagnostic Specialist/Technologist (code 246ZE0600X). The practice location is 6642 Clayton Rd # 403, Saint Louis, MO 63117-1602. The NPI number 1669241774 was assigned on December 29, 2023 and the record was last updated on December 29, 2023.

Frequently asked questions

What is the NPI number of Stephanie Nugrahennie, MD?

The NPI number is 1669241774.

What is the phone number of Dr. Nugrahennie?

The phone number listed for the practice location is (314) 332-7754.

Where is Dr. Nugrahennie located?

6642 Clayton Rd # 403, Saint Louis, MO 63117-1602.

What is the taxonomy code for Dr. Nugrahennie?

The primary taxonomy code is 246ZE0600X – Electroneurodiagnostic Specialist/Technologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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