Nurse Practitioner, Gerontology
ESEN ANTAKLI AGNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1962869990 · enumerated 2016-01-21 · record updated 2026-04-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 412024, CREVE COEUR, MO, 63141-2024 (314) 395-7699 Google Maps Apple Maps OpenStreetMap
- Practice location 12855 N 40 DR STE 275, SAINT LOUIS, MO, 63141-8667 (314) 395-7699 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 2016001674 MO
In this directory
MO St. Louis County Saint Louis Nurse Practitioner, Gerontology
Locations and evidence
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Practice location
SAINT LOUIS, MO, 631418667
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.