Individual
MELISSA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
608 OLD ROUTE 66, SAINT ROBERT, MO 65584-3730
(573) 336-5100
Mailing address
608 OLD ROUTE 66, SAINT ROBERT, MO 65584-3730
(573) 336-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019026691
MO
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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