Kelli Elizabeth Buntaine, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · O Fallon, MO

NPI

1073279568

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

2022015784 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-11-09

Last updated

2022-12-13