Individual
BOI B TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1722 CLARKSON RD, CHESTERFIELD, MO 63017-4976
(636) 206-2665
(636) 206-2664
Mailing address
1722 CLARKSON RD, CHESTERFIELD, MO 63017-4976
(636) 206-2665
(636) 206-2664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13-136622-082
KS
363LF0000X
Family Nurse Practitioner
Primary
2023002546
MO
Other
Enumeration date
12/28/2022
Last updated
02/15/2023
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