Individual
CASSIDY VICTORIA BELLVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(573) 468-4186
Mailing address
PO BOX 959318, SAINT LOUIS, MO 63195-9318
(573) 468-4186
(573) 860-6179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025017389
MO
363LA2200X
Adult Health Nurse Practitioner
AG0520031
MO
363LG0600X
Gerontology Nurse Practitioner
AG0520031
MO
Other
Enumeration date
05/14/2025
Last updated
09/16/2025
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