Individual
ERICA P CRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5 LUGWIG DRIVE, FAIRVIEW HEIGHTS, IL 62208
(618) 397-9000
(618) 397-9003
Mailing address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 615-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2010036627
MO
363LF0000X
Family Nurse Practitioner
Primary
209007255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780834747
—
MO
Enumeration date
09/26/2008
Last updated
05/10/2018
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