Individual
MRS. MICHELLE D HILLEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
3226 COUNTRY KNOLL DR, SAINT CHARLES, MO 63303-6370
(636) 928-9783
(314) 895-3827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
044029
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
106671
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916997018
—
MO
Enumeration date
10/10/2005
Last updated
04/27/2020
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