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

Colleen Diane Nichols, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1952935405

Colleen Diane Nichols, CPNP-PC is a Pediatric Nurse Practitioner in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5666
Show map & directions

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

Additional practice locations (1)

  • 1 Childrens Pl, Saint Louis, MO 63110-1002 — (314) 454-3250

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2020006145 (MO)

Record details

NPI number1952935405
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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