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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PIBI JEAN BOUDA

Active Sole Proprietor

PIBI JEAN BOUDA is a Gerontological Nurse Practitioner healthcare provider located in SAINT LOUIS, Missouri. NPI 1235836982 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · SAINT LOUIS, MO

Registration Details

NPI Number
1235836982
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2023 (3.4550798815471 yrs)
Last Updated
Apr 26, 2023
License
2023005006 (MO)
Sole Proprietor
Yes

Practice Information

Address
3320 MARSHALL AVE
SAINT LOUIS, MO, 631144344
Browse MO providers · Browse ZIP 63114
Phone
3144895537
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in SAINT LOUIS, MO

Name Credential NPI
MS. CLAUDETTE J KURZ GNP 1164428454
PEGGY J GERDES RN, APN 1609831320
MS. DEBORAH ANN ESKER GNP 1437177953
KATHRYN HOUSTON GNP 1730192006
JEAN BERRA MUELLER GNP 1205947173
SANDRA R. HENRY ANP 1831273515
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.