Individual
SKYLAR SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 221-5244
Mailing address
1514 HAWTHORNE PL, RICHMOND HEIGHTS, MO 63117-2234
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2024041850
MO
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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