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General NPI Number Information
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NPI Number | 1396948162
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Entity Type | Individual
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Provider Name | KRISTEN A ZYSK RNC, WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1031 BELLEVUE AVE STE 100
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1855
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Country | US
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Telephone | 314-925-4702
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 955534
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City | SAINT LOUIS
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State | MO
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Zip | 63195-5534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2001017682
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2001017682
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License Number State | MO
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