Individual provider · Type 1 NPI

Christa Marie Stoutenborough, MSN, APRN, A-GNP-C

Nurse Practitioner · St. Louis, MO

NPI number 1427675925 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Mailing address

6802 Wadlow Ct
Godfrey, IL 62035-4238

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2020009326 (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 1427675925

Christa Marie Stoutenborough, MSN, APRN, A-GNP-C's National Provider Identifier is 1427675925, issued on Jun 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 30, 2020.