Individual
MELISSA L. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2018035749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100587360
—
KY
Enumeration date
09/21/2018
Last updated
11/12/2024
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