Maged Boules

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2026048562 Issued in MO

Practice address

381 Winding Bluffs CT
Fenton, MO 63026-5588

Phone

(602) 515-5506

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1629973581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WINDING BLUFFS CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 WINDING BLUFFS CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265588",
            "telephone_number": "602-515-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULES",
        "first_name": "MAGED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2026048562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Vivant Adult Day Club L.L.C.
• Susan Elizabeth Bonk, MS, CCC-SLP
• Nicole M Book, MS, LPC
• Melanie Marie Boon, APN
• Aaron Bornstein, D.O.
• Lawrence Vincent Boveri, MD
• Stephen Angelo Boveri, MD
• Michelle E Braun, RN BSN
• Amanda Nicole Breedlove, PNP
• Brian K Kindel OD PC

• Acute Care Nurse Practitioner in Fenton, MO
• Providers in Fenton, MO by specialty
• Acute Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.