MS. MICHELLE LYNN HEFFRON AHCNS
Surgery Yellow Pages
Saint Louis, Missouri
Provider NPI: 1033137450
Provider Information:MS. MICHELLE LYNN HEFFRON AHCNS
Practice Location:
11155 DUNN RD SAINT LOUIS, MO 63136 US
Tel: 314-355-3003 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 364SM0705X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Medical-Surgical | MO | 124811 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
428343404 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin