Individual
MS. KAREN TRIPPE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
4590 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1810
(314) 849-7669
(314) 849-7670
Mailing address
812 E HAVEN DR, WATERLOO, IL 62298-2933
(618) 939-6891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003003305
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427272703
—
MO
Enumeration date
10/02/2006
Last updated
07/09/2007
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