Individual
MICHELLE ANN NOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
606 E BUCHANAN ST, CALIFORNIA, MO 65018-1910
(573) 796-3600
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2000147957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407081532
—
MO
Enumeration date
05/19/2009
Last updated
10/18/2013
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