SearchMissouri363LA2100X

Shannon Boles, ACNP

NPI 1760552665 · on the registry since 2006

Practice

Address
4901 Forest Park Ave
Div Surg Accs, Ste 340
Saint Louis, MO 63108
Phone
(314) 362-5298
Fax
(888) 824-2176
Organisation at this address
Washington University
Barnes Jewish Hospital
Barnes-Jewish Hospital
Washington University Physicians In Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
232

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri