Individual provider · Type 1 NPI

Maged Boules

Acute Care Nurse Practitioner · Fenton, MO

NPI number 1629973581 Active

Practice location

381 Winding Bluffs Ct
Fenton, MO 63026-5588

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2026048562 (MO)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629973581

Maged Boules's National Provider Identifier is 1629973581, issued on Oct 12, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fenton, MO. The record was last updated on Oct 12, 2026.