Blue Valley Surgical Associates, Llc Valid NPI

Organization · Family Nurse Practitioner · O Fallon, MO

NPI

1275916934

Type

Organization (Type 2)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

2015020560 (MO)

Enumerated

2015-06-30

Last updated

2015-06-30