Individual provider · Type 1 NPI

Gloria Michelle Paul Edacheril, NP

Family Nurse Practitioner · O Fallon, MO

NPI number 1144502253 Active

Practice location

20 Progress Point Pkwy Ste 108
O Fallon, MO 63368

Call (636) 344-2400 Map

Fax (636) 344-2401

Other practice locations

  • 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 · (573) 727-2640

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2011011839 (MO)
Family Nurse Practitioner Primary 363LF0000X2011011839 (MO)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1144502253

Gloria Michelle Paul Edacheril, NP's National Provider Identifier is 1144502253, issued on Sep 14, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in O Fallon, MO. The record was last updated on Mar 12, 2021.