Crystal Peterson, - Licensed Practical Nurse in Saint Louis, MO

Crystal Peterson, is a Licensed Practical Nurse based in Saint Louis, Missouri. Crystal Peterson is licensed to practice in Missouri (license number 2015028944) and her current practice location is 4066 Dunnica Ave, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (636) 224-1230.

NPI number for Crystal Peterson is 1073057352 and her current mailing address is 1601 Old South River Rd, Saint Charles, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073057352.

Contact Information

Crystal Peterson,
4066 Dunnica Ave,
Saint Louis, MO 63116-3510
(636) 224-1230
Not Available



Provider's Profile

Full NameCrystal Peterson
GenderFemale
SpecialityLicensed Practical Nurse
Location4066 Dunnica Ave, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073057352
  • Provider Enumeration Date: 12/06/2016
  • Last Update Date: 07/28/2022

Medical Identifiers

Medical identifiers for Crystal Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073057352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 2015028944 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Peterson,
1601 Old South River Rd,
Saint Charles, MO 63303-4120

Ph: (636) 224-1210
Crystal Peterson,
4066 Dunnica Ave,
Saint Louis, MO 63116-3510

Ph: (636) 224-1230

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Licensed Practical Nurse Nurses in Saint Louis, MO

Anthony Conigliaro, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6973 Winona Ave, Saint Louis, MO 63109
Phone: 314-619-0595    
Mrs. Lana Shanise Watson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112
Phone: 314-367-5820    Fax: 314-367-6326
Michelle Denise Quarles,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5025 Northrup Ave, Saint Louis, MO 63110
Phone: 314-773-3670    Fax: 314-773-3705
Juanita K. Lawrence,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4928 Delmar Blvd, Saint Louis, MO 63108
Phone: 314-899-0846    
Brittany Lashay Morris, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1254 George St, Saint Louis, MO 63130
Phone: 314-973-6563    
Rodelynn Richee, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112
Phone: 314-367-5820    Fax: 314-367-7010
Akia Jenae Walton, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1430 Olive St Ste 100, Saint Louis, MO 63103
Phone: 314-678-3344    Fax: 314-621-5006

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