Roberts, Michele

Roberts, Michele is an individual health care provider with primary practice located at 6209 Mid Rivers Mall Dr Suite 317, Saint Peters MO 63304-1102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Roberts, Michele can be contacted via phone (636) 294-5735.

Contact Information

Primary practice address
6209 Mid Rivers Mall Dr Suite 317 Saint Peters MO 63304-1102
Phone: (636) 294-5735
Fax: (636) 294-1566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 103362 Missouri

Profile Details

NPI number 1467451708
LBN Legal business name Roberts, Michele
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 18th, 2013 - about 12 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 1467451708 NPPES
Missouri MEDICAID 428953418
Missouri Other 500028069

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