Individual
MEGHAN M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP, FNP
Contact information
Practice address
621 S NEW BALLAS RD STE 112A, CREVE COEUR, MO 63141-8252
(314) 251-6339
(314) 251-4564
Mailing address
7050 DARTMOUTH AVE, SAINT LOUIS, MO 63130-2314
(314) 560-9498
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2017043285
MO
363LF0000X
Family Nurse Practitioner
2021039037
MO
Other
Enumeration date
01/03/2022
Last updated
05/02/2022
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