Individual
MR. NATHAN SCOTT KREMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
660 S EUCLID AVE, CB 8052, SAINT LOUIS, MO 63110-1010
(314) 454-8917
(314) 454-7524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020039317
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2020039317
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420093780
—
MO
Enumeration date
12/09/2020
Last updated
04/09/2024
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