Individual
DANIELLE BAFUNNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
3708 BROAD ST, SAINT CHARLES, MO 63301-8550
(317) 501-2074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016038398
MO
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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