Individual
MS. MARY LEE MORGANITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
12747 OLIVE BLVD STE 300, CREVE COEUR, MO 63141-6269
(314) 325-6940
Mailing address
4921 PARKVIEW PL, STE 13A, SAINT LOUIS, MO 63110-1032
(314) 333-4100
(314) 333-4115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021010411
MO
Other
Enumeration date
07/19/2021
Last updated
08/01/2026
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