Active NPIIndividual provider

Nicole M Wienclaw, APRN

Nurse Practitioner, Family in Saint Louis, Missouri

NPI Number1679230742
Practice location
1 Childrens Pl, Saint Louis, MO 63110-1002
Fax
—
Last updated
October 28, 2026

Nicole Marie Wienclaw is a Nurse Practitioner, Family based in Saint Louis, MO. Nicole Marie Wienclaw practices in Saint Louis, MO and has the professional credentials of APRN. The NPI Number for Nicole Marie Wienclaw is 1679230742 and holds a License No. 348676 (NY). The current practice location address for Nicole Marie Wienclaw is 1 Childrens Pl, Saint Louis, MO 63110-1002 and can be reached out via phone at 314-464-5000.

Provider Profile Details

NPI Number
1679230742
Provider Name
Nicole Marie Wienclaw
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Childrens Pl, Saint Louis, MO 63110-1002
Phone Number
314-464-5000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2021
Last Update Date
October 28, 2026
Certification Date
October 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Childrens Pl
Saint Louis, MO 63110-1002
Zip
63110-1002
Phone Number
314-464-5000
Saint Louis, MO 63110Get directions →

Provider Business Mailing Address Details

Address
1 Childrens Pl
Saint Louis, MO 63110-1002
City
Saint Louis
State
MO
Zip
63110-1002
Phone Number
314-464-5000

License Information

License Number (1)
348676
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
101.0135034
License State (2)
VT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
2024034163
License State (3)
MO
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole M Wienclaw, APRN?

The NPI number of Nicole M Wienclaw, APRN is 1679230742. It was assigned on November 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Nicole M Wienclaw, APRN?

Nicole M Wienclaw, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 348676.

Where does Nicole M Wienclaw, APRN practice?

The practice location is 1 Childrens Pl, Saint Louis, MO 63110-1002. The office can be reached at 314-464-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679230742 directly on the NPPES registry website.

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