Individual
NICHOLAS JOSEPH BODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 415, SAINT LOUIS, MO 63117-1204
(314) 293-8123
Mailing address
151 CRESCENT AVE, VALLEY PARK, MO 63088-1106
(636) 575-2115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017010493
MO
Other
Enumeration date
06/03/2017
Last updated
06/03/2017
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