Edacheril, Gloria Michelle Paul

Edacheril, Gloria Michelle Paul is an individual health care provider with primary practice located at 20 Progress Point Pkwy Ste 108 , O Fallon MO 63368. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edacheril, Gloria Michelle Paul can be contacted via phone (636) 344-2400.

Contact Information

Primary practice address
20 Progress Point Pkwy Ste 108 O Fallon MO 63368
Phone: (636) 344-2400
Fax: (636) 344-2401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2011011839 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011011839 Missouri

Profile Details

NPI number 1144502253
LBN Legal business name Edacheril, Gloria Michelle Paul
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Mar 12th, 2021 - about 4 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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