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NPI Code Detail

MEDICARE: MICHELE ANN ROBERTS, P C

MEDICARE: MICHELE ANN ROBERTS, P C
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
1101YP2500XProfessional Counselor
2363LG0600XGerontology Nurse Practitioner

Other Identifiers

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

General Provider Information

NPI Number : 1811044233
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELE ANN ROBERTS, P C
Provider Business Mailing Address
First Line : PO BOX 323
Second Line :
City : BALLWIN
State : MO
Zip : 63022-0323
Country : US
Telephone Number : 314-578-2100
Fax Number : 636-333-4510
Provider Business Practice Location Address
First Line : 13612 BIG BEND RD
Second Line :
City : VALLEY PARK
State : MO
Zip : 63088-1447
Country : US
Telephone Number : 314-578-2100
Fax Number : 636-333-4510
Authorized Official
Title or Position : OWNER
Name : MICHELE A ROBERTS
Credential : CNP
Telephone Number : 314-578-2100
Provider Enumeration Date : 01/05/2007
Last Update Date : 12/16/2025

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