Provider Demographics
NPI:1013289867
Name:SALVATORE, MICHELE F (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:F
Last Name:SALVATORE
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:F
Other - Last Name:OLEKSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:555 N NEW BALLAS RD STE 240
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6849
Mailing Address - Country:US
Mailing Address - Phone:314-842-0340
Mailing Address - Fax:
Practice Address - Street 1:555 N NEW BALLAS RD STE 240
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6849
Practice Address - Country:US
Practice Address - Phone:314-842-0340
Practice Address - Fax:314-842-0742
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011037431363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner