Individual provider · Type 1 NPI
Krystal Lynn Crecelius, NP
Family Nurse Practitioner · St. Louis, MO
NPI number
1023549862
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Mailing address
915 N Grand Blvd # B902
St. Louis, MO 63106-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2017024419 (MO) |
| Family Nurse Practitioner | 363LF0000X | 209017720 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023549862
Krystal Lynn Crecelius, NP's National Provider Identifier is 1023549862, issued on Mar 23, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 19, 2024.