Individual
MELONIE RENEE ROBERTS
Active
Individual
MELONIE RENEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017013024
MO
363LF0000X
Family Nurse Practitioner
R874839
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05107335
—
MS
Enumeration date
12/09/2011
Last updated
07/21/2022
Update your record
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