Provider Demographics
NPI:1942193792
Name:ARUWAJOYE, AYOMIDE STEPHANIE (AGNP)
Entity type:Individual
Prefix:MS
First Name:AYOMIDE
Middle Name:STEPHANIE
Last Name:ARUWAJOYE
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-5365
Mailing Address - Fax:314-362-5470
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM NEPHROLOGY, STE 5C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-5365
Practice Address - Fax:314-362-5470
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2025013574363LG0600X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology