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PIBI BOUDA
Gerontology Nurse Practitioner
NPI: 1235836982IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
2023005006(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
Via practice · 2 locations total
- Address
- 12277 DE PAUL DR, SUITE 401
BRIDGETON, MO 63044 - Phone
- (314) 291-8824
Quick Facts
- NPI
- 1235836982
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 4
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