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Organization

MICHELE ANN ROBERTS, P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE A ROBERTS CNP (OWNER)
(314) 578-2100
Entity
Organization

Contact information

Practice address
13612 BIG BEND RD, VALLEY PARK, MO 63088-1447
(314) 578-2100
(636) 333-4510
Mailing address
PO BOX 323, BALLWIN, MO 63022-0323
(314) 578-2100
(636) 333-4510

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
363LG0600X
Gerontology Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428953418
MO
Enumeration date
01/05/2007
Last updated
01/18/2026
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