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Individual

MICHELLE L. MALONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN BC-ANP

Contact information

Practice address
10 HOSPITAL DR, STE 100, SAINT PETERS, MO 63376-1659
(636) 916-7272
(636) 916-7274
Mailing address
10 HOSPITAL DR STE 100, SAINT PETERS, MO 63376-1659
(636) 916-7272
(636) 916-7274

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107587
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
107587
MO

Other

Enumeration date
05/29/2007
Last updated
02/05/2021
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