Birtley, Nancy

Birtley, Nancy is an individual health care provider with primary practice located at 6209 Mid Rivers Mall Dr Suite 317, Saint Peters MO 63304-1102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Birtley, Nancy can be contacted via phone (636) 244-4500.

Contact Information

Primary practice address
6209 Mid Rivers Mall Dr Suite 317 Saint Peters MO 63304-1102
Phone: (636) 244-4500
Fax: (636) 244-4505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 107603 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2015034704 Missouri

Profile Details

NPI number 1689673956
LBN Legal business name Birtley, Nancy
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673956 NPPES
Missouri MEDICAID 424724110
Missouri Other P00171562

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