Individual
KRISTEN LEE KUSTERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209023040
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209023040
IL
Other
Enumeration date
06/08/2021
Last updated
04/01/2025
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