Provider Demographics
NPI:1679964191
Name:PEER, ABBY CRONIN (AGNP)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:CRONIN
Last Name:PEER
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 ARBOR GROVE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-4984
Mailing Address - Country:US
Mailing Address - Phone:314-603-3830
Mailing Address - Fax:
Practice Address - Street 1:11500 OLIVE BLVD STE 235
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7141
Practice Address - Country:US
Practice Address - Phone:314-925-0903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015001251363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology