Individual
MAKARIA KENZIE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1390 US HIGHWAY 61 STE N1500, CRYSTAL CTY, MO 63028-4137
(636) 933-8050
(636) 933-8047
Mailing address
1390 US HIGHWAY 61 STE N1500, CRYSTAL CTY, MO 63028-4137
(636) 933-8050
(636) 933-8047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2020027835
MO
363L00000X
Nurse Practitioner
2020027835
MO
363LF0000X
Family Nurse Practitioner
Primary
2026005553
MO
Other
Enumeration date
11/03/2025
Last updated
03/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us