Individual
MRS. MELISSA A PORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
621 S NEW BALLAS RD STE 2007B, SAINT LOUIS, MO 63141-8265
(314) 991-5000
Mailing address
621 S NEW BALLAS RD STE 2007B, SAINT LOUIS, MO 63141-8265
(314) 991-5000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
155597
MO
Other
Enumeration date
12/10/2008
Last updated
10/13/2021
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