Individual
MICHELLE GAIL O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22361 OAK RIDGE DR, SHELL KNOB, MO 65747-7822
(417) 858-3731
Mailing address
22361 OAK RIDGE DR, SHELL KNOB, MO 65747-7822
(417) 858-3731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019026407
MO
Other
Enumeration date
08/10/2019
Last updated
01/16/2020
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