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VICTORIA CHRISTINE CHAMPAGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
330 FIRST CAPITAL DRIVE, SUITE 470, ST CHARLES, MO 63301-2847
(636) 946-1650
(636) 947-6621
Mailing address
330 FIRST CAPITAL DRIVE, SUITE 470, ST CHARLES, MO 63301-2847
(636) 946-1650
(636) 947-6621

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
082590
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00160741
RAILROAD MEDICARE
Enumeration date
10/27/2006
Last updated
07/08/2007
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