Individual
MRS. MINDY KAY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
11125 DUNN RD, STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
(314) 653-5483
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(314) 653-5484
(314) 653-5483
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
119797
MO
363LA2200X
Adult Health Nurse Practitioner
309-002288
IL
Other
Enumeration date
04/25/2007
Last updated
01/24/2013
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