Individual
KIMBERLY MARIE BESANCENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
11700 STUDT AVE, SAINT LOUIS, MO 63141-7480
(314) 989-9199
(314) 989-9491
Mailing address
13554 BECKER PLACE DR, SAINT LOUIS, MO 63128-4198
(314) 578-4388
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2018013770
MO
Other
Enumeration date
07/27/2020
Last updated
01/03/2023
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