Individual
MS. MELISSA DIANE GRISAFFE
Active
Individual
MS. MELISSA DIANE GRISAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2014022681
MO
363LA2100X
Acute Care Nurse Practitioner
A004218
AR
363LA2200X
Adult Health Nurse Practitioner
2014022681
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
A004218
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154724144
—
MO
Enumeration date
10/03/2014
Last updated
01/06/2022
Update your record
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