Individual provider · Type 1 NPI
Nicole M. Burdge, NP
Family Nurse Practitioner · St. Louis, MO
NPI number
1629684865
Active
Practice location
10004 Kennerly Rd Ste 115A
St. Louis, MO 63128-5106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2020027480 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 2020027480 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629684865
Nicole M. Burdge, NP's National Provider Identifier is 1629684865, issued on Sep 22, 2020. 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 Dec 17, 2024.