NPI 1508296732

Susan Mickley, CPM

Practitioner Midwife Saint Louis, MO

Practice location

Address: 4052 Oleatha Ave, Saint Louis, MO 63116-3606
Phone: (314) 452-9291

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 13100027 (MO)

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Registry record

NPI: 1508296732
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2013
Record last updated: 25 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.