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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTEN ALICE DERDERIAN, CNP

Active

KRISTEN ALICE DERDERIAN, CNP is a Primary Care Nurse Practitioner healthcare provider located in SAINT LOUIS, Missouri. NPI 1407417645 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · SAINT LOUIS, MO

Registration Details

NPI Number
1407417645
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2019 (7.0871382840933 yrs)
Last Updated
Mar 21, 2022
Licenses
RN2321686 (MA)
2021013574 (MO)

Practice Information

Address
12200 WEBER HILL RD STE 100
SAINT LOUIS, MO, 631271599
Browse MO providers · Browse ZIP 63127
Phone
3146982500
Fax
3146982323
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in SAINT LOUIS, MO

Name Credential NPI
MS. JOY DAWN MURPHY AGNP 1851321103
MRS. ROSA M. PROUHET CNP 1578629945
MRS. PATRICIA FLYNN MCKENZIE B.C, A.N.P. 1861538654
MS. JANE A HICKS PNP 1780997676
MS. STEPHANIE ELAINE HOUSTON NP 1659716181
MICHELLE LEE PLANK NP 1932528973
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.