Nicholas Joseph Bodi, FNP
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1548798564
StatusActive
Last updated in NPPESJun 3, 2017
Details
- NPI
- 1548798564
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Joseph Bodi
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2017
- Last updated
- Jun 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2017010493 | MO | Yes |
Practice location
1034 S Brentwood Blvd Ste 415Saint Louis, MO 63117-1204
Phone 314-293-8123
Mailing address
151 Crescent AveValley Park, MO 63088-1106
Phone 636-575-2115
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