Individual
MICHELLE MONTEILH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FIRST CAPITOL DR, ST. CHARLES, MO 63301
(314) 989-3000
Mailing address
13523 BARRETT PARKWAY DR, STE 210, BALLWIN, MO 63021-3802
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004019752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914607908
—
MO
01
—
P00456099
RR MEDICARE
MO
Enumeration date
01/23/2008
Last updated
04/29/2008
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