Bardley, Sherita Michelle

Bardley, Sherita Michelle is an individual health care provider with primary practice located at 100 N Tucker Blvd , Saint Louis MO 63101-1931. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bardley, Sherita Michelle can be contacted via phone (314) 814-8515.

Contact Information

Primary practice address
100 N Tucker Blvd Saint Louis MO 63101-1931
Phone: (314) 814-8515
Fax: (314) 814-8542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2001014327 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP127914 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 2001014327 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP127914 Texas

Profile Details

NPI number 1487819264
LBN Legal business name Bardley, Sherita Michelle
Credentials FAMILY PRACTIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Mar 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487819264 NPPES
Missouri MEDICAID 500899562

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