Organization · Type 2 NPI
Blue Valley Surgical Associates, LLC
Family Nurse Practitioner · O Fallon, MO
NPI number
1275916934
Active
Practice location
2341 Highway K, Suite 214
O Fallon, MO 63368-8604
Mailing address
12920 Metcalf Ave, Ste 250
Overland Park, KS 66213-2699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015020560 (MO) |
Family Nurse Practitioner: Definition to come...
About NPI 1275916934
Blue Valley Surgical Associates, LLC's National Provider Identifier is 1275916934, issued on Jun 30, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in O Fallon, MO. The record was last updated on Jun 30, 2015.