Individual
MRS. MICHELE RENE YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(314) 525-1538
Mailing address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(314) 525-1538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
155587
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156820006
MEDICARE PTAN #
MO
Enumeration date
04/07/2007
Last updated
07/15/2024
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