Individual
KRISTIN ANNE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5213 GODFREY RD STE 110, GODFREY, IL 62035-2510
(618) 619-3330
(618) 619-3385
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2000
(618) 619-3330
(618) 619-3385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20901908
IL
363LF0000X
Family Nurse Practitioner
Primary
209.019081
IL
Other
Enumeration date
04/10/2019
Last updated
09/19/2025
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