Derderian, Kristen Alice
Derderian, Kristen Alice is an individual health care provider with primary practice located at 12200 Weber Hill Rd Ste 100 , Saint Louis MO 63127-1599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Derderian, Kristen Alice can be contacted via phone (314) 698-2500.Contact Information
Primary practice address
12200 Weber Hill Rd Ste 100
Saint Louis MO 63127-1599
Phone: (314) 698-2500
Fax: (314) 698-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN2321686 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 2021013574 | Missouri |
Profile Details
| NPI number | 1407417645 |
|---|---|
| LBN Legal business name | Derderian, Kristen Alice |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2019 |
| Last updated | Mar 21st, 2022 - about 2 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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