Provider Demographics
NPI:1912975764
Name:CHRISTANELL, CARA ELIZABETH (RN CPNP)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:ELIZABETH
Last Name:CHRISTANELL
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Gender:F
Credentials:RN CPNP
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Mailing Address - Street 1:1465 S GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1003
Mailing Address - Country:US
Mailing Address - Phone:314-268-6406
Mailing Address - Fax:314-268-2712
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-268-6406
Practice Address - Fax:314-268-2712
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOMO132531363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics