Individual
MARISSA ELIZABETH SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNP-BC
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 607-8156
Mailing address
10711 SAINT MATTHEW LN, SAINT ANN, MO 63074-2616
(314) 607-8156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2026007462
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
2026007462
MO
Other
Enumeration date
04/16/2026
Last updated
04/17/2026
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