Boxdorfer, Theresa A

Boxdorfer, Theresa A is an individual health care provider with primary practice located at 12639 Old Tesson Rd Suite 115, Saint Louis MO 63128-2786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boxdorfer, Theresa A can be contacted via phone (314) 849-0311.

Contact Information

Primary practice address
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786
Fax: (314) 849-4423
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 126462 Missouri

Profile Details

NPI number 1063566768
LBN Legal business name Boxdorfer, Theresa A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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