Intentional Living Primary Health Care, Llc
Family Nurse Practitioner · Saint Louis, MO
At a glance
1120 S 6Th St Ste 110, Saint Louis, MO 63104-3602
NPPES record updated Mar 16, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1120 S 6Th St Ste 110Saint Louis, MO 63104-3602
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Nurse Practitioner
- Taxonomy code
- 363LF0000X
- Enumeration date
- May 5, 2020
- Record updated
- Mar 16, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Family Nurse Practitioner
363LF0000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1120 S 6Th St Ste 110Saint Louis, MO 63104-3602
- Phone
- (314) 203-2627
- Fax
- (314) 261-9469
Mailing address
1120 S 6TH ST STE 110SAINT LOUIS, MO 631043602
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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