Individual
MS. MELISSA SUE BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125-4522
(866) 389-2727
Mailing address
7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125-4522
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018023341
MO
363LF0000X
Family Nurse Practitioner
209007114
IL
Other
Enumeration date
02/20/2007
Last updated
10/30/2024
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