Individual
BETHANY NUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3400 HIRAM ST APT A1, SAINT CHARLES, MO 63301-8263
(636) 288-3004
Mailing address
3400 HIRAM ST APT A1, SAINT CHARLES, MO 63301-8263
(636) 288-3004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016004492
MO
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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