Individual provider · Type 1 NPI
Michele Neudecker
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1851381206
Active
Practice location
2325 Dougherty Ferry Rd Ste 104
St. Louis, MO 63122-3356
Fax (314) 457-9341
Mailing address
6651 Chippewa St Ste 322
St. Louis, MO 63109-2532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 076292 (MO) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1851381206
Michele Neudecker's National Provider Identifier is 1851381206, issued on Oct 26, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Aug 28, 2020.