Individual provider · Type 1 NPI
Theresa A. Boxdorfer, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1063566768
Active
Practice location
12639 Old Tesson Rd, Suite 115
St. Louis, MO 63128-2786
Fax (314) 849-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 126462 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063566768
Theresa A. Boxdorfer, FNP's National Provider Identifier is 1063566768, issued on Jan 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 19, 2025.