Healthcare Provider Details

I. General information

NPI: 1134925738
Provider Name (Legal Business Name): LILLIAN NICOLE CHRONISTER MSN, RN, CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CUNNINGHAM INDUSTRIAL PKWY
BELTON MO
64012-3915
US

IV. Provider business mailing address

1104 BROOKSIDE CT
RAYMORE MO
64083-9253
US

V. Phone/Fax

Practice location:
  • Phone: 816-922-2161
  • Fax: 816-922-4845
Mailing address:
  • Phone: 816-645-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number2023025470
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: