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Audrey Bolden, NP — NPI 1316455959, Lake St Louis, MO | NPI Central

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NPI 1316455959

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Audrey Bolden, NP

NPI 1316455959 · Nurse Practitioner · Lake St Louis, MO

Provider details

NPI number: 1316455959
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Female
Sole proprietor: No
License: 2018002061 (MO)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 2018002061 (MO)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

100 Medical Plz

Lake St Louis, MO 63367-1366

Phone: (636) 625-5200

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

802 N Riverside Rd Ste 210

Saint Joseph, MO 64507-2509

Additional practice locations (1)

802 N Riverside Rd Ste 210
Saint Joseph, MO 64507-2509
Phone: (816) 271-6200
Fax: (816) 271-6749

Registry dates

Enumerated: 2018-01-17
Last updated: 2025-12-12
Certified: 2025-12-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.