Individual
MRS. MECHELLE LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
7711 CARONDELET AVE, SAINT LOUIS, MO 63105-3313
(314) 727-2273
(314) 862-1463
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
2009006067
MO
Other
Enumeration date
05/11/2017
Last updated
03/27/2025
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