Individual
NICOLE MARIE BIDDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 814-8700
Mailing address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 814-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024014049
MO
363A00000X
Physician Assistant
3136
OK
Other
Enumeration date
09/23/2019
Last updated
11/06/2024
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