Individual
MRS. THERESA M CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, NNP, MSN
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4859
Mailing address
2933 WESTBOROUGH DR, SAINT CHARLES, MO 63301-4546
(636) 947-8647
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
066500
MO
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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