Individual provider · Type 1 NPI

Katie Stafford

Family Nurse Practitioner · St. Louis, MO

NPI number 1508359043 Active

Practice location

12200 Weber Hill Rd Ste 100
St. Louis, MO 63127-1569

Mailing address

615 S New Ballas Rd
St. Louis, MO 63141-8221

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2018029917 (MO)
Registered Nurse 163W00000X2009005945 (MO)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1508359043

Katie Stafford's National Provider Identifier is 1508359043, issued on Jun 9, 2018. 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 Aug 6, 2024.