Individual
MS. MELINDA MICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, ACNS
Contact information
Practice address
5669 DELMAR BLVD, SAINT LOUIS, MO 63112-2615
(314) 531-1770
(314) 241-1185
Mailing address
2422 DRY BROOK RD, WENTZVILLE, MO 63385-4146
(330) 501-9448
(330) 793-8585
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20210443385
MO
364SA2200X
Adult Health Clinical Nurse Specialist
COA 13241-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241705
—
OH
Enumeration date
08/09/2012
Last updated
02/08/2024
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