Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Elizabeth Nichols, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1740964220

Anna Elizabeth Nichols, AGNP-C is a Primary Care Nurse Practitioner in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

15945 Clayton Rd Ste 120
Ballwin, MO 63011-2490
Phone: (636) 256-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2023019231 (MO)

Record details

NPI number1740964220
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

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