Emily Yvonne Boles Sallade, DNP
Nurse Practitioner, Family in Saint Louis, MO. Individual provider (NPI-1).
NPI number1649024902
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1649024902
- Entity type
- Individual (NPI-1)
- Name
- Emily Yvonne Boles Sallade
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 14, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2024013302 | MO | Yes |
Practice location
2117 Hillsgate CtSaint Louis, MO 63146-2210
Phone 636-448-5733
Mailing address
2117 Hillsgate CtSaint Louis, MO 63146-2210
Phone 636-448-5733
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