Individual
KATELYN BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2024048700
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024048700
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014040731
RN
—
Enumeration date
09/25/2024
Last updated
02/14/2025
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