Doctor Name: | MICHELLE M. ENGLERT |
NPI Number: | 1538539325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 2015034731 |
Business Practice Address: | 114 Downey Pl Cuba, MO - 654531640 |
Business Phone Number: | 5738853358 |
Business Fax Number: | 5738853361 |
Mailing Address: | Po Box 505164, SAINT LOUIS |
State: | MO |
Postal Code: | 631505164 |
Phone Number: | 4178294620 |
Fax Number: | 4178294316 |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2015034731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |