Individual
MELISSA JOANNE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP, CPNP
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4101
(314) 577-5379
Mailing address
3691 RUTGER AVE, ST. LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2010034956
MO
363LP0200X
Pediatric Nurse Practitioner
77335
OK
Other
Enumeration date
05/23/2010
Last updated
11/21/2017
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