Individual
MS. NANCY O BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12680 OLIVE BLVD, SUITE 100, SAINT LOUIS, MO 63141-6322
(314) 251-8900
(314) 251-8901
Mailing address
12680 OLIVE BLVD, SUITE 100, SAINT LOUIS, MO 63141-6322
(314) 251-8900
(314) 251-8901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
079784
MO
Other
Enumeration date
07/17/2006
Last updated
09/19/2014
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