Individual
MS. MICHELLE LYNN HEFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AHCNS
Contact information
Practice address
11155 DUNN RD, SAINT LOUIS, MO 63136-6150
(314) 355-3003
(314) 355-0515
Mailing address
11155 DUNN RD STE 204, STE 204, SAINT LOUIS, MO 63136-6150
(314) 355-3033
(314) 355-0515
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
124811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428343404
—
MO
Enumeration date
07/17/2006
Last updated
01/24/2018
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