Individual
MRS. MEGAN SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PARKVIEW PL, SAINT LOUIS, MO 63110-1038
(314) 362-5158
Mailing address
6534 THOLOZAN AVE, SAINT LOUIS, MO 63109-1228
(636) 236-7616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03200048
MO
Other
Enumeration date
03/30/2020
Last updated
11/20/2020
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