Provider Demographics
NPI:1114269040
Name:SOEST, MICHELE J (APRN)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:J
Last Name:SOEST
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 SAINT CHRISTOPHER WAY
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-3980
Mailing Address - Country:US
Mailing Address - Phone:636-464-6490
Mailing Address - Fax:636-464-6490
Practice Address - Street 1:627 WESTWOOD DR S
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2062
Practice Address - Country:US
Practice Address - Phone:636-931-9066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO071423363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health