Individual
MICHELLE TREMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8544
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-8544
(660) 890-8545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012006271
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023044094
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01303824
RAILROAD MEDICARE
MO
Enumeration date
03/05/2012
Last updated
11/04/2023
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