Individual
MS. KRISTIE MARIE TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13001 N OUTER 40 RD, DIV NEUROLOGY PEDIATRICS, STE 1A, CHESTERFIELD, MO 63017-5941
(314) 454-6120
(314) 454-4225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6120
(314) 454-4225
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2020038104
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420096100
—
MO
Enumeration date
12/20/2011
Last updated
04/17/2025
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