Individual
CRYSTAL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S WOODS MILL RD STE 410S, CHESTERFIELD, MO 63017-3605
(636) 685-7795
(314) 590-5959
Mailing address
3221 MCKELVEY RD STE 301, BRIDGETON, MO 63044-2551
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2016003050
MO
Other
Enumeration date
05/05/2016
Last updated
09/03/2020
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