Individual
MELISSA L. AMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5425 SOUTHFIELD CENTER, SAINT LOUIS, MO 63123-5984
(314) 543-5258
(314) 543-5262
Mailing address
5425 SOUTHFIELD CENTER, SAINT LOUIS, MO 63123-5984
(314) 543-5258
(314) 543-5262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012034596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275886012
—
MO
01
—
431560263
TRICARE
MO
01
—
P01116109
RR MCR
MO
Enumeration date
10/17/2012
Last updated
03/15/2017
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