Individual provider · Type 1 NPI

Marissa Rose Perez-Magnelli, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1003647470 Active

Practice location

1 Childrens Pl, Dept Neurology, Ste 2130
St. Louis, MO 63110-1002

Call (314) 454-6120 Map

Fax (314) 454-4225

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	2024012233 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003647470

Marissa Rose Perez-Magnelli, PNP's National Provider Identifier is 1003647470, issued on Aug 8, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.