Provider Demographics
NPI:1689797128
Name:NADLER, MICHELLE LOUISE (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:LOUISE
Last Name:NADLER
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Gender:F
Credentials:APRN, BC
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Mailing Address - Street 1:1 CHILDRENS PL
Mailing Address - Street 2:SUITE 11 W 45
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6254
Mailing Address - Fax:314-454-2762
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:SUITE 11 W 45
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6254
Practice Address - Fax:314-454-2762
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2021-11-04
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Provider Licenses
StateLicense IDTaxonomies
MO106643363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics