Individual
AUDREY ANNE BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
802 N RIVERSIDE RD STE 210, SAINT JOSEPH, MO 64507-2509
(816) 271-6200
(816) 271-6749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018002061
MO
Other
Enumeration date
01/17/2018
Last updated
12/12/2025
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