Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 2010001116 | MO |
N | 363LA2200X | Nurse Practitioner - Adult Health | 209007777 | IL |
NPI | 1013121383 |
---|---|
Provider Name | Mrs. Christine Ann Testa |
First Address | Florissant, MO 63031-8023 |
Second Address | Florissant, MO 63031-8023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 03/01/2022 |