Individual provider · Type 1 NPI

Audrey Anne Bolden, NP

Nurse Practitioner · Lake St. Louis, MO

NPI number 1316455959 Active

Practice location

100 Medical Plz
Lake St. Louis, MO 63367-1366

Call (636) 625-5200 Map

Mailing address

802 N Riverside Rd Ste 210
St. Joseph, MO 64507-2509

Other practice locations

  • 802 N Riverside Rd Ste 210, St. Joseph, MO 64507-2509 · (816) 271-6200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2018002061 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316455959

Audrey Anne Bolden, NP's National Provider Identifier is 1316455959, issued on Jan 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Dec 12, 2025.