Individual provider · Type 1 NPI
Skylar Squires, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1215749080
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1081
Mailing address
1514 Hawthorne Pl
Richmond Heights, MO 63117-2234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2024041850 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1215749080
Skylar Squires, CPNP's National Provider Identifier is 1215749080, issued on Jan 21, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 21, 2025.