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Individual

MS. KATIE LYNN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2341
(314) 454-4345

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026006577
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/11/2025
Last updated
02/17/2026
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