Individual
KRYSTA SHAYE MASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11560 OLIVE BLVD, CREVE COEUR, MO 63141-7111
(314) 995-7128
Mailing address
11560 OLIVE BLVD, CREVE COEUR, MO 63141-7111
(314) 541-9106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021039963
MO
363LF0000X
Family Nurse Practitioner
Primary
2021039963
MO
Other
Enumeration date
08/31/2021
Last updated
05/15/2024
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