Organization
NANCY M. BIRTLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE M FLANAGAN RN, MBA (PRACTICE MANAGER)
(636) 244-4500
Entity
Organization
Contact information
Practice address
6209 MID RIVERS MALL DR, #317, SAINT PETERS, MO 63304-1102
(636) 244-4500
(636) 244-4505
Mailing address
6209 MID RIVERS MALL DR, #317, SAINT PETERS, MO 63304-1102
(636) 244-4500
(636) 244-4505
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
107603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0679
RAILROAD MEDICARE
MO
Enumeration date
03/26/2007
Last updated
11/21/2007
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