Nugent, Caroline Grace

Nugent, Caroline Grace is an individual health care provider with primary practice located at 16555 Manchester Rd Ste 201 , Wildwood MO 63040-1220. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Nugent, Caroline Grace can be contacted via phone (636) 458-5858.

Contact Information

Primary practice address
16555 Manchester Rd Ste 201 Wildwood MO 63040-1220
Fax: (636) 458-6510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021042916 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2021042916 Missouri

Profile Details

NPI number 1790303493
LBN Legal business name Nugent, Caroline Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790303493 NPPES
Missouri MEDICAID 200083457

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