Individual
NICOLE BILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023009272
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/06/2022
Last updated
04/06/2023
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