Individual
MICHELLE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
534 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
(573) 760-8253
(314) 996-4500
Mailing address
PO BOX 957683, SAINT LOUIS, MO 63195-7683
(573) 760-8253
(314) 996-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017004718
MO
363LF0000X
Family Nurse Practitioner
2017004718
MO
363LF0000X
Family Nurse Practitioner
2019017168
MO
Other
Enumeration date
03/30/2017
Last updated
11/07/2025
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