Individual provider · Type 1 NPI
Kristen Alice Derderian, CNP
Primary Care Nurse Practitioner · St. Louis, MO
NPI number
1407417645
Active
Practice location
12200 Weber Hill Rd Ste 100
St. Louis, MO 63127-1599
Fax (314) 698-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN2321686 (MA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2021013574 (MO) |
Primary Care Nurse Practitioner: Definition to come...
7 other providers at this address
- Allison Gage, NP-CAdult Health Nurse Practitioner St. Louis, MO NPI 1205106291
- Amita R. Bhalla, MDInternal Medicine Physician St. Louis, MO NPI 1396754842
- Dina Helina Fleming, DOFamily Medicine Physician St. Louis, MO NPI 1053938217
- Katie StaffordFamily Nurse Practitioner St. Louis, MO NPI 1508359043
- Micah SchenckPrimary Care Nurse Practitioner St. Louis, MO NPI 1831882786
- Morton J. Singer Jr., MDFamily Medicine Physician St. Louis, MO NPI 1497701304
- Vanessa L. Fitts, FNP-CFamily Nurse Practitioner St. Louis, MO NPI 1790146280
Other primary care nurse practitioner providers in St. Louis
- Salima Enloe, FNPPrimary Care Nurse Practitioner St. Louis, MO NPI 1003481268
- Abigail Sanders Cooper, PNPPrimary Care Nurse Practitioner St. Louis, MO NPI 1023659463
- Kerry Alicia McKenzie, NURSE PRACTITIONERPrimary Care Nurse Practitioner St. Louis, MO NPI 1033898838
- Faye Monahan, FNP-CPrimary Care Nurse Practitioner St. Louis, MO NPI 1053074997
- Natalie SchroederPrimary Care Nurse Practitioner St. Louis, MO NPI 1124791751
- Kelly Ann Esposito, NP-CPrimary Care Nurse Practitioner St. Louis, MO NPI 1154862225
- Adam James MitchellPrimary Care Nurse Practitioner St. Louis, MO NPI 1164342416
- Jody Lynn Sims, PNPPrimary Care Nurse Practitioner St. Louis, MO NPI 1184173585
About NPI 1407417645
Kristen Alice Derderian, CNP's National Provider Identifier is 1407417645, issued on Jun 27, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Louis, MO. The record was last updated on Mar 21, 2022.