Individual provider · Type 1 NPI
Kristopher Mitchell Short
Gerontology Nurse Practitioner · St. Joseph, MO
NPI number
1215671128
Active
Practice location
5325 Faraon St
St. Joseph, MO 64506-3488
Fax (816) 271-7986
Mailing address
5301 Faraon St Ste 120
St. Joseph, MO 64506-3512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 2003020380 (MO) |
| Nurse Practitioner | 363L00000X | 2022024067 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2022024067 (MO) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1215671128
Kristopher Mitchell Short's National Provider Identifier is 1215671128, issued on Apr 26, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Joseph, MO. The record was last updated on Oct 9, 2024.