Warden, Stacey Michele

Warden, Stacey Michele is an individual health care provider with primary practice located at 10806 Olive Blvd , Saint Louis MO 63141-7773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Warden, Stacey Michele can be contacted via phone (314) 993-7009.

Contact Information

Primary practice address
10806 Olive Blvd Saint Louis MO 63141-7773
Phone: (314) 993-7009
Fax: (314) 993-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2001006665 Missouri

Profile Details

NPI number 1235535535
LBN Legal business name Warden, Stacey Michele
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2014
Last updated Apr 17th, 2025 - about last year

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 1235535535 NPPES
Missouri MEDICAID 420095602

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