Douglas Allen Bouldin in Chesterfield - Family
Douglas Allen Bouldin - NPI 1770568727
Douglas Allen Bouldin is a Family in Chesterfield, Missouri. Douglas Allen Bouldin practices all healthcare services and medical treatments related to Family. The NPI Number for Douglas Allen Bouldin is 1770568727. The last update date is 2016-03-16.
Douglas Allen Bouldin's current location address is 13353 Olive Blvd, Chesterfield, Missouri. You can contact this provider via phone number 6364738873. The mailing address for Douglas Allen Bouldin is 13353 Olive Blvd, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Allen Bouldin |
|---|---|
| Address | 13353 Olive Blvd, Chesterfield, Missouri |
| Phone Number | 6364738873 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1770568727 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2016-03-16 |
Provider Mailing Address Detail
| Address | 13353 Olive Blvd |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630173108 |
| Phone Number | 6364738873 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3009332 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425690617 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas Allen Bouldin by the Centers for Medicare & Medicaid Services?
The Douglas Allen Bouldin has been issued the NPI (National Provider Identifier) 1770568727. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Douglas Allen Bouldin is physically located?
The Douglas Allen Bouldin is physically situated at the following address: 13353 Olive Blvd, Chesterfield, MO, 630173108.
What is Douglas Allen Bouldin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Allen Bouldin's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Douglas Allen Bouldin receive its 1770568727 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Allen Bouldin was assigned its 1770568727 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Douglas Allen Bouldin's details last updated?
The information pertaining to the Douglas Allen Bouldin, including its address, specialty, and other details, was most recently updated on 2016-03-16.