Venuto, Alexandra Louise

Venuto, Alexandra Louise is an individual health care provider with primary practice located at 4488 Forest Park Ave Div Neurology Aging And Dementia, Ste 160, Saint Louis MO 63108-2283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Venuto, Alexandra Louise can be contacted via phone (314) 286-1967.

Contact Information

Primary practice address
4488 Forest Park Ave Div Neurology Aging And Dementia, Ste 160 Saint Louis MO 63108-2283
Phone: (314) 286-1967
Fax: (314) 286-1985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2024002810 Missouri

Profile Details

NPI number 1376325597
LBN Legal business name Venuto, Alexandra Louise
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Apr 17th, 2025 - about last year

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 1376325597 NPPES
Missouri MEDICAID 420136491

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