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
Phone: (636) 458-5858
Fax: (636) 458-6510
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790303493 | NPPES |
| Missouri | MEDICAID | 200083457 |
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