Individual
MICHELE LATRICE TIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,ANP-BC
Contact information
Practice address
1225 GRAHAM RD, C-1330, FLORISSANT, MO 63031-8012
(314) 838-5702
(314) 839-5596
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 838-5702
(314) 839-5596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011000076
MO
Other
Enumeration date
01/05/2011
Last updated
04/08/2013
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