Michelle Renee Martin in Chesterfield - Pediatrics

Michelle Renee Martin - NPI 1679521520

Michelle Renee Martin is a Pediatrics in Chesterfield, Missouri. Michelle Renee Martin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Michelle Renee Martin is 1679521520. The last update date is 2022-12-09.

Michelle Renee Martin's current location address is 13001 N Outer 40 Rd, Chesterfield, Missouri. You can contact this provider via phone number 3144545500 and fax number 3144545501. The mailing address for Michelle Renee Martin is 13001 N Outer 40 Rd, Chesterfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Renee Martin
Address 13001 N Outer 40 Rd, Chesterfield, Missouri
Phone Number 3144545500
Fax Number 3144545501
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1679521520
Provider Enumeration Date 2006-05-04
Last Updated Date 2022-12-09

Provider Mailing Address Detail

Address 13001 N Outer 40 Rd
City Chesterfield
State Missouri (MO)
Post Code 630175941
Phone Number 3144545500
Fax Number 3144545501

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 2019012307
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
428968507 MO --

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FAQs about Michelle Renee Martin

What is the Michelle Renee Martin's 1679521520?

The Michelle Renee Martin's NPI (National Provider Identifier) Number is 1679521520. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michelle Renee Martin's facilities are geographically located?

The facilities of Michelle Renee Martin are physically situated at the following location: 13001 N Outer 40 Rd, Chesterfield, MO, 630175941.

What is the Michelle Renee Martin's specialty and taxonomy code?

The Michelle Renee Martin's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

When did the Michelle Renee Martin receive its 1679521520?

The Michelle Renee Martin was issued its 1679521520 on 2006-05-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Michelle Renee Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michelle Renee Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-09.

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