Individual
MELANIE MARIE BOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
508 OLD SMIZER MILL RD, FENTON, MO 63026-3538
(636) 343-5223
Mailing address
508 OLD SMIZER MILL RD, FENTON, MO 63026-3538
(636) 343-5223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015023448
MO
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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