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Contact Information

GLORIA MICHELLE P EDACHERIL, NP
20 PROGRESS POINT PKWY STE 108
O'FALLON, MO63368
 Phone: 636-344-2400
 Fax: 636-344-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GLORIA MICHELLE P EDACHERIL · (Female)

NPI # 1144502253
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/14/2011
Last updated 03/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2011011839
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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