Individual provider · Type 1 NPI

Kimberly Ann Deptula, FNP-C

Nurse Practitioner · Florissant, MO

NPI number 1023530896 Active

Practice location

500 Howdershell Rd
Florissant, MO 63031-6450

Fax (314) 687-2672

Mailing address

PO Box 955534
St. Louis, MO 63195-1009

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2017001302 (MO)
Nurse Practitioner Primary 363L00000X2017001302 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023530896

Kimberly Ann Deptula, FNP-C's National Provider Identifier is 1023530896, issued on Jul 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Florissant, MO. The record was last updated on Oct 21, 2020.