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Mrs. Shannon Kristine Boles, ACNP
Acute Care Nurse Practitioner in Saint Louis, Missouri
NPI 1760552665

Shannon Kristine Boles is an Acute Care Nurse Practitioner based in Saint Louis, MO and is specialized in Acute Care. Shannon Kristine Boles practices in Saint Louis, MO and has the professional credentials of ACNP. The NPI Number for Shannon Kristine Boles is 1760552665 and holds a License No. 2000165054 (Missouri).

The current practice location address for Shannon Kristine Boles is 4901 Forest Park Ave, Saint Louis, MO and can be reached out via phone at 314-362-5298 and via fax at 888-824-2176.

Location: 4901 Forest Park Ave, Saint Louis, MO, 63160-0352
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Provider Profile Details
NPI Number
1760552665
Provider Name
Shannon Kristine Boles
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
4901 Forest Park Ave, Saint Louis, MO, 63160-0352
Phone Number
314-362-5298
Fax Number
888-824-2176
Provider Enumeration Date
11/08/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420007468 05 MO
institution
Provider Business Practice Location Address Details
Address
4901 Forest Park Ave
City
State
Zip
63108-1495
Phone Number
314-362-5298
Fax Number
888-824-2176
person
Provider Business Mailing Address Details
Address
4901 Forest Park Ave
City
State
Zip
63108-1495
Phone Number
314-362-5298
Fax Number
888-824-2176
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
2000165054 (Missouri)
Definition
Definition to come...
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