Mrs. Michele Neudecker
Mrs. Michele Neudecker is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 1996, 30 years ago. Practices with Ladue Internal Medicine LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.
- Years since qualifying
- 30
- Licensed in
- MO
- In the registry since
- 2005
Practice location Address checks out
2325 Dougherty Ferry Rd Ste 104Saint Louis, MO 63122-3356
Phone: (148) 216-8893
Fax: (314) 457-9341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 076292 (MO) |
|---|
Record details
| NPI number | 1851381206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2005 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Ladue Internal Medicine Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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