Individual
KRYSTINA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
408 BRIARCOMMONS DR, LAKE ST LOUIS, MO 63367-6414
(314) 954-1808
Mailing address
408 BRIARCOMMONS DR, LAKE ST LOUIS, MO 63367-6414
(314) 954-1808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202630986
MO
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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