Selbert, Stacy Michele

Selbert, Stacy Michele is an individual health care provider with primary practice located at 4901 Forest Park Ave Dept Obgyn, Ste 710, Saint Louis MO 63108-1495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Selbert, Stacy Michele can be contacted via phone (314) 362-4211.

Contact Information

Primary practice address
4901 Forest Park Ave Dept Obgyn, Ste 710 Saint Louis MO 63108-1495
Phone: (314) 362-4211
Fax: (888) 315-6494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 149554 Missouri

Profile Details

NPI number 1043492937
LBN Legal business name Selbert, Stacy Michele
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Apr 25th, 2024 - about 2 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 1043492937 NPPES
Missouri MEDICAID 425616802

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