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

Mr. Edward Jim Vredenburgh III, RN

Individual provider Family Nurse Practitioner · NPI 1841741030

Mr. Edward Jim Vredenburgh III, RN is a Family Nurse Practitioner in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone: (314) 653-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018037132 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2001004428 (MO)

Record details

NPI number1841741030
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 22, 2016
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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