Individual provider · Type 1 NPI

Kimberly Marie Besancenez, AGNP-C

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1760091623 Active

Practice location

11700 Studt Ave
St. Louis, MO 63141-7480

Call (314) 989-9199 Map

Fax (314) 989-9491

Mailing address

13554 Becker Place Dr
St. Louis, MO 63128-4198

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	2018013770 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1760091623

Kimberly Marie Besancenez, AGNP-C's National Provider Identifier is 1760091623, issued on Jul 27, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Jan 3, 2023.