Individual
MS. MELANIE V MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, BC
Contact information
Practice address
400 MEDICAL PLAZA, SUITE 100, LAKE SAINT LOUIS, MO 63367-1395
(636) 639-8600
(636) 639-8676
Mailing address
500 MEDICAL DRIVE, WENTZVILLE, MO 63385
(636) 327-1202
(363) 327-1222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
080039
MO
Other
Enumeration date
08/12/2008
Last updated
09/07/2012
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