Individual
MRS. MANPREET KAUR BUDHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12776 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 291-7997
Mailing address
12774 BOENKER LN, BRIDGETON, MO 63044-2436
(314) 291-7997
(314) 739-1471
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013040394
MO
Other
Enumeration date
12/17/2013
Last updated
04/06/2021
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