Individual
MS. MERIELLE NICOLE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13001 N OUTER 40 RD, DIV NEUROLOGY PEDIATRICS, STE 1A, CHESTERFIELD, MO 63017-5941
(314) 454-6120
(314) 454-4225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6120
(314) 454-4225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010006172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420070865
—
MO
Enumeration date
05/07/2010
Last updated
04/15/2025
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