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Michele Roberts, GNP
Gerontology Nurse Practitioner in Ballwin, Missouri
NPI 1467451708

Michele Roberts is a Gerontology Nurse Practitioner based in Ballwin, MO and is specialized in Gerontology. Michele Roberts practices in Ballwin, MO and has the professional credentials of GNP. The NPI Number for Michele Roberts is 1467451708 and holds a License No. 103362 (Missouri).

The current practice location address for Michele Roberts is 368 Westglen Village Dr, Ballwin, MO and can be reached out via phone at 366-289-6655.

Location: 368 Westglen Village Dr, Ballwin, MO, 63022-0323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467451708
Provider Name
Michele Roberts
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
368 Westglen Village Dr, Ballwin, MO, 63022-0323
Phone Number
366-289-6655
Fax Number
Provider Enumeration Date
07/19/2005
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
428953418 05 MO
500028069 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
368 Westglen Village Dr
City
Ballwin
State
Missouri
Zip
63021-6134
Phone Number
366-289-6655
Fax Number
person
Provider Business Mailing Address Details
Address
368 Westglen Village Dr
City
Ballwin
State
Missouri
Zip
63021-6134
Phone Number
366-289-6655
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
103362 (Missouri)
Definition
Definition to come...
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