Heffron, Michelle Lynn

Heffron, Michelle Lynn is an individual health care provider with primary practice located at 11155 Dunn Rd , Saint Louis MO 63136-6150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as her primary health care specialty. Heffron, Michelle Lynn can be contacted via phone (314) 355-3003.

Contact Information

Primary practice address
11155 Dunn Rd Saint Louis MO 63136-6150
Phone: (314) 355-3003
Fax: (314) 355-0515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 124811 Missouri

Profile Details

NPI number 1033137450
LBN Legal business name Heffron, Michelle Lynn
Credentials AHCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 24th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033137450 NPPES
Missouri MEDICAID 428343404

Popular Providers