Individual provider · Type 1 NPI

Shannon Boersig

Licensed Practical Nurse · St. Louis, MO

NPI number 1407390685 Active

Practice location

4066 Dunnica Ave
St. Louis, MO 63116-3510

Call (636) 224-1230 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X045709 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1407390685

Shannon Boersig's National Provider Identifier is 1407390685, issued on Dec 7, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 7, 2016.