Individual
MICHELLE KAY BANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
12409 ROTH HILL DR, MARYLAND HEIGHTS, MO 63043-2941
(636) 299-3632
Mailing address
12409 ROTH HILL DR, MARYLAND HEIGHTS, MO 63043-2941
(636) 299-3632
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG12180029
MO
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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