Individual
MS. KRISTA N LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
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
363L00000X
Nurse Practitioner
Primary
209013618
IL
363LF0000X
Family Nurse Practitioner
209013618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420037882
—
MO
Enumeration date
11/28/2015
Last updated
10/03/2022
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