Individual
MORGAN BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14805 N OUTER 40 RD STE 320, CHESTERFIELD, MO 63017-6060
(636) 536-0183
Mailing address
14805 N OUTER 40 RD STE 320, CHESTERFIELD, MO 63017-6060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024019266
MO
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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