IndividualActive
Kathleen Sida, FNP
NPI 1679228803 · Primary Care Nurse Practitioner · Hazelwood, MO
Provider details
- NPI number
- 1679228803
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- F01221105 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
637 Dunn Rd Ste 102a
Hazelwood, MO 63042-1755
Phone: (314) 831-8600
Approximate (ZIP-level) locationGet directions
Mailing address
8233 Fendale Dr
Affton, MO 63123-3303
Additional practice locations (1)
- 10700 Manchester Rd Ste EKirkwood, MO 63122-1307Phone: (314) 428-9541Fax: (314) 428-9540
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2023-03-19
- Certified
- 2023-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.