Tristen Lee Donner, FNP
Nurse Practitioner in Saint Louis, MO. Individual provider (NPI-1).
NPI number1508317157
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1508317157
- Entity type
- Individual (NPI-1)
- Name
- Tristen Lee Donner
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2016
- Certification date
- Aug 1, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2023038573 | MO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 2023038573 | MO |
Practice location
650 Maryville University DrSaint Louis, MO 63141-5849
Phone 314-529-9300
Mailing address
650 Maryville University DrSaint Louis, MO 63141-5849
Phone 314-529-9300
Other practice locations
965 Mattox Dr
Sullivan, MO 63080-2365
Sullivan, MO 63080-2365
Phone 573-860-6000
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