Individual
MRS. MELISSA DEANNE PRINCIVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 884-1255
(573) 884-6942
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2004020809
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020034241
MO
Other
Enumeration date
08/06/2007
Last updated
09/12/2022
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