Individual
MELANIE MELISSA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
23 CLAYTON TER, FRONTENAC, MO 63131-2920
(314) 608-6645
Mailing address
23 CLAYTON TER, FRONTENAC, MO 63131-2920
(314) 608-6645
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104388372
MO
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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