Individual
KRISTIN LOUISE STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
75 SCOTSDALE CT, SAINT PETERS, MO 63376-7664
(573) 268-8601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020030802
MO
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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