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General NPI Number Information
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NPI Number | 1699647487
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Entity Type | Individual
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Provider Name | KRISTA DANIELLE ALLEN AANP-FNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3619 RICHARDSON SQUARE DR STE 170
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City | ARNOLD
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State | MO
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Zip | 63010-6014
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Country | US
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Telephone | 636-717-6776
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Fax |
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Provider Business Mailing Address
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Address Line | 14 LIBERTY LNDG
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City | HERCULANEUM
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State | MO
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Zip | 63048-1734
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Country | US
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Telephone | 573-263-8656
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2025041052
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License Number State | MO
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