Individual
SABINE DESSIEUX BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HOSPITAL DR, MC314, COLUMBIA, MO 65212-0001
(573) 882-4908
(573) 884-5184
Mailing address
1 HOSPITAL DR, MC314, COLUMBIA, MO 65212-0001
(573) 882-4908
(573) 884-5184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004035580
MO
363LF0000X
Family Nurse Practitioner
5375103101
KS
Other
Enumeration date
08/20/2009
Last updated
05/19/2015
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