Individual
MS. STACY MICHELE SELBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG ONCOLOGY, STE 5F, SAINT LOUIS, MO 63110-1032
(314) 362-2280
(888) 352-8360
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-2280
(888) 352-8360
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
149554
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425616802
—
MO
Enumeration date
12/03/2007
Last updated
04/17/2025
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