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Ms. Michelle Alyson Cusumano, AGNP
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1194477406

Michelle Alyson Cusumano is a Gerontology Nurse Practitioner based in Saint Louis, MO and is specialized in Gerontology. Michelle Alyson Cusumano practices in Saint Louis, MO and has the professional credentials of AGNP. The NPI Number for Michelle Alyson Cusumano is 1194477406 and holds a License No. 2021049703 (Missouri).

The current practice location address for Michelle Alyson Cusumano is 1040 N Mason Rd, Saint Louis, MO and can be reached out via phone at 314-454-8877 and via fax at 877-991-4780.

Location: 1040 N Mason Rd, Saint Louis, MO, 63110-1010
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Provider Profile Details
NPI Number
1194477406
Provider Name
Michelle Alyson Cusumano
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
1040 N Mason Rd, Saint Louis, MO, 63110-1010
Phone Number
314-454-8877
Fax Number
877-991-4780
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420105778 05 MO
institution
Provider Business Practice Location Address Details
Address
1040 N Mason Rd
City
State
Zip
63141-6399
Phone Number
314-454-8877
Fax Number
877-991-4780
person
Provider Business Mailing Address Details
Address
1040 N Mason Rd
City
State
Zip
63141-6399
Phone Number
314-454-8877
Fax Number
877-991-4780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2021049703 (Missouri)
Definition
Definition to come...
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