Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2011037431 | MO |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 2011037431 | MO |
NPI | 1013289867 |
---|---|
Provider Name | Mrs. Michele F. Salvatore |
First Address | Saint Louis, MO 63141-6849 |
Second Address | Creve Coeur, MO 63141-6849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2012 |
Last Update Date | 17/05/2021 |