Individual provider · Type 1 NPI

Melanie V. Maze, ANP, BC

Adult Health Nurse Practitioner · Lake St. Louis, MO

NPI number 1255587127 Active

Practice location

400 Medical Plaza, Suite 100
Lake St. Louis, MO 63367-1395

Call (636) 639-8600 Map

Fax (636) 639-8676

Mailing address

500 Medical Drive
Wentzville, MO 63385

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X080039 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1255587127

Melanie V. Maze, ANP, BC's National Provider Identifier is 1255587127, issued on Aug 12, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake St. Louis, MO. The record was last updated on Sep 7, 2012.