IndividualActive
Kristi Thebeau, RN, BSN, CNOR
NPI 1790020378 · Registered Nurse First Assistant · Wildwood, MO
Provider details
- NPI number
- 1790020378
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- RN, BSN, CNOR
- Sex
- Female
- Sole proprietor
- No
- License
- 120532 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
2106 Hickory Summit Ct
Wildwood, MO 63011-5402
Phone: (636) 405-2656
Fax: (636) 405-2656
Approximate (ZIP-level) locationGet directions
Mailing address
2106 Hickory Summit Ct
Wildwood, MO 63011-5402
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2012-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.