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Individual

MS. MELISSA GODAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5551 WINGHAVEN BLVD STE 20, O FALLON, MO 63368-3618
(314) 944-3711
(660) 205-2524
Mailing address
5551 WINGHAVEN BLVD STE 20, O FALLON, MO 63368-3618
(314) 944-3711
(660) 205-2524

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015009132
MO
363LF0000X
Family Nurse Practitioner
2015009132
MO

Other

Enumeration date
08/09/2015
Last updated
04/12/2022
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