Peterson, Crystal

Peterson, Crystal is an individual health care provider with primary practice located at 4066 Dunnica Ave , Saint Louis MO 63116-3510. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Peterson, Crystal can be contacted via phone (636) 224-1230.

Contact Information

Primary practice address
4066 Dunnica Ave Saint Louis MO 63116-3510
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2015028944 Missouri

Profile Details

NPI number 1073057352
LBN Legal business name Peterson, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Jul 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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