Provider Demographics
NPI:1396381638
Name:STEMMLEY, KRISTINE SARAH (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:SARAH
Last Name:STEMMLEY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6460 RONALD REAGAN DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2645
Mailing Address - Country:US
Mailing Address - Phone:636-205-9613
Mailing Address - Fax:636-205-9614
Practice Address - Street 1:6460 RONALD REAGAN DR
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2645
Practice Address - Country:US
Practice Address - Phone:636-205-9613
Practice Address - Fax:636-205-9614
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019043520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily