MEDICARE: MICHELE A NOBS N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	066498	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386619138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE A NOBS N.P.

Provider Business Mailing Address
First Line	:	607 S NEW BALLAS RD
Second Line	:	SUITE 3300
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8219
Country	:	US
Telephone Number	:	314-251-4986
Fax Number	:	314-251-6375

Provider Business Practice Location Address
First Line	:	607 S NEW BALLAS RD
Second Line	:	SUITE 3300
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8219
Country	:	US
Telephone Number	:	314-251-4986
Fax Number	:	314-251-6375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	11/24/2014

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