Individual
MICHEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1422 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2130
(417) 967-4445
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016018333
MO
363LF0000X
Family Nurse Practitioner
2016018333
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
06/14/2016
Last updated
08/03/2026
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