Taggart, Kristie Marie

Taggart, Kristie Marie is an individual health care provider with primary practice located at 13001 N Outer 40 Rd Div Neurology Pediatrics, Ste 1A, Chesterfield MO 63017-5941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Taggart, Kristie Marie can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
13001 N Outer 40 Rd Div Neurology Pediatrics, Ste 1A Chesterfield MO 63017-5941
Fax: (314) 454-2523
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 2020038104 Missouri

Profile Details

NPI number 1700155793
LBN Legal business name Taggart, Kristie Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2011
Last updated Apr 25th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700155793 NPPES
Missouri MEDICAID 420096100

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