Individual
MELONI ANN HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10212 HALLS FERRY RD, SAINT LOUIS, MO 63136-4316
(636) 698-3984
Mailing address
40 SAG HARBOR CT, SAINT CHARLES, MO 63303-8300
(636) 698-3984
(636) 246-0064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
135103
MO
363LG0600X
Gerontology Nurse Practitioner
2023033843
MO
Other
Enumeration date
04/24/2008
Last updated
08/18/2023
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