IndividualActive
Adam Godefroid, RN, BSN, CCM
NPI 1235067315 · Case Management Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1235067315
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, BSN, CCM
- Sex
- Male
- Sole proprietor
- No
- License
- 2015032529 (MO)
Mailing address
6139 Magnolia Ave
Saint Louis, MO 63139-2749
Registry dates
- Enumerated
- 2026-05-11
- Last updated
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.