Individual
MR. CHARLES BAHATI SEBUNYENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM CARDIOLOGY, SAINT LOUIS, MO 63110-1003
(314) 362-1291
(314) 362-4278
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 362-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017038787
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420075670
—
MO
Enumeration date
08/07/2019
Last updated
04/17/2025
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