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Contact Information

COURTNEY T BOIVIN, NP
12436 TESSON FERRY RD
SAINT LOUIS, MO63128-2702
 Phone: 314-454-6336
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COURTNEY T BOIVIN · (Female)

NPI # 1457990798
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/03/2020
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019043941
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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