Individual
DR. COLLEEN PATRICIA MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4901 FOREST PARK AVE STE 710, STE 710, SAINT LOUIS, MO 63108-1402
(314) 362-4211
(314) 362-0049
Mailing address
660 S EUCLID AVE, C B 8064, SAINT LOUIS, MO 63110-1010
(314) 454-7882
(314) 222-6245
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2011003938
MO
207VG0400X
Gynecology Physician
Primary
2011003938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962664730
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/01/2008
Last updated
01/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us