person
Kristen Alice Derderian, CNP
Primary Care Nurse Practitioner in Saint Louis, Missouri
NPI 1407417645

Kristen Alice Derderian is a Primary Care Nurse Practitioner based in Saint Louis, MO and is specialized in Primary Care. Kristen Alice Derderian practices in Saint Louis, MO and has the professional credentials of CNP. The NPI Number for Kristen Alice Derderian is 1407417645 and holds a License No. RN2321686 (Missouri).

The current practice location address for Kristen Alice Derderian is 12200 Weber Hill Rd Ste 100, Saint Louis, MO and can be reached out via phone at 314-698-2500 and via fax at 314-698-2323.

Location: 12200 Weber Hill Rd Ste 100, Saint Louis, MO, 63127-1599
person
Provider Profile Details
NPI Number
1407417645
Provider Name
Kristen Alice Derderian
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
12200 Weber Hill Rd Ste 100, Saint Louis, MO, 63127-1599
Phone Number
314-698-2500
Fax Number
314-698-2323
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12200 Weber Hill Rd Ste 100
City
State
Zip
63127-1599
Phone Number
314-698-2500
Fax Number
314-698-2323
person
Provider Business Mailing Address Details
Address
12200 Weber Hill Rd Ste 100
City
State
Zip
63127-1599
Phone Number
314-698-2500
Fax Number
314-698-2323
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
RN2321686 (Massachusetts)
Definition
Definition to come...
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