Individual
MELISSA COLLEEN FRAZIER-GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
425 N NEW BALLAS RD STE 107, SAINT LOUIS, MO 63141-6845
(314) 432-2592
Mailing address
425 N NEW BALLAS RD STE 107, SAINT LOUIS, MO 63141-6845
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2008016142
MO
363LF0000X
Family Nurse Practitioner
Primary
2021047918
MO
Other
Enumeration date
11/22/2021
Last updated
12/01/2021
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