Individual
MISS KRISTEN ELAINE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, SRNA
Contact information
Practice address
400 S WOODS MILL RD STE 140, CHESTERFIELD, MO 63017-3427
(314) 485-1101
Mailing address
907 ROSE LN, GERMANTOWN, IL 62245-2039
(618) 772-9585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024020240
MO
Other
Enumeration date
06/15/2023
Last updated
08/09/2024
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