Cruickshank, Theresa M

Cruickshank, Theresa M is an sole proprietor health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Cruickshank, Theresa M can be contacted via phone (314) 525-4859.

Contact Information

Primary practice address
10010 Kennerly Rd Saint Louis MO 63128-2106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 066500 Missouri

Profile Details

NPI number 1679744015
LBN Legal business name Cruickshank, Theresa M
Credentials RNC, NNP, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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