Individual provider · Type 1 NPI

Heather Renee Blickenstaff, MD

Pediatric Emergency Medicine (Pediatrics) Physician · St. Louis, MO

NPI number 1700415130 Active

Practice location

1 Childrens Pl, Div Ped Emergency Med
St. Louis, MO 63110-1002

Call (314) 454-2341 Map

Fax (314) 454-4345

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2023010994 (MO)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X2023010994 (MO)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1700415130

Heather Renee Blickenstaff, MD's National Provider Identifier is 1700415130, issued on Apr 7, 2020. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in St. Louis, MO. The record was last updated on Jul 6, 2026.