Individual
MS. CHRISTINA MARIE FULLINWIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., W.H.C.N.P.
Contact information
Practice address
2529 GLENN HENDREN DRIVE, STE 200 E, LIBERTY, MO 64068
(816) 781-7820
(816) 792-0656
Mailing address
12639 OLD TESSON ROAD, STE 100, ST. LOUIS, MO 63128
(816) 781-7820
(816) 792-0656
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
139628
MO
Other
Enumeration date
01/07/2010
Last updated
03/02/2018
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