Kristen Derderian, CNP

Individual Active
NPI 1407417645
Primary Care Nurse Practitioner Saint Louis, MO

Kristen Derderian, CNP holds NPI 1407417645, with a primary taxonomy of primary care nurse practitioner and a practice location in Saint Louis, MO. The number was issued on June 27, 2019 and the NPPES record was last updated on March 21, 2022. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 2021013574 (MO)
Primary Care Nurse Practitioner 363LP2300X RN2321686 (MA)

Practice location

12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1599
Phone: (314) 698-2500

Local context

Active NPPES records list 83 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 44 of them within 10 miles.

The same primary taxonomy is listed by 191 in Missouri and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kristen Alice Derderian
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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