Individual
AMANDA MELLIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017
(636) 735-4268
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4268
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
2017013760
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2017013760
MO
Other
Enumeration date
06/13/2017
Last updated
04/18/2024
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