Organization
NURSES RN
Active
Organization
NURSES RN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA M CRIDDLE RN (ADMINISTRATOR)
(314) 455-4444
Entity
Organization
Contact information
Practice address
111 CHURCH ST STE 118A, FERGUSON, MO 63135-2430
(833) 876-9315
Mailing address
111 CHURCH ST STE 118A, FERGUSON, MO 63135-2430
(833) 876-9315
(314) 455-4444
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
04/13/2021
Last updated
11/22/2023
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