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
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700155793 | NPPES |
| Missouri | MEDICAID | 420096100 |
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