Individual provider · Type 1 NPI

Theresa M. Cruickshank, RNC, NNP, MSN

Neonatal Nurse Practitioner · St. Louis, MO

NPI number 1679744015 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-4859 Map

Mailing address

2933 Westborough Dr
St. Charles, MO 63301-4546

Specialties and licenses

Taxonomy	Code	License
Neonatal Nurse Practitioner Primary	363LN0000X	066500 (MO)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1679744015

Theresa M. Cruickshank, RNC, NNP, MSN's National Provider Identifier is 1679744015, issued on Mar 13, 2008. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 13, 2008.