Individual
MS. CHRISTINE C MACHICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8888 LADUE RD, STE 100, SAINT LOUIS, MO 63124-2326
(314) 862-4050
(314) 862-1141
Mailing address
PO BOX 7412125, CHICAGO, IL 60674-2125
(314) 862-4050
(314) 862-1141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001005535
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420019031
—
MO
Enumeration date
07/20/2010
Last updated
04/17/2025
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