Individual provider · Type 1 NPI

Melissa Ann Bommarito, CPNP-PC

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1770028078 Active

Practice location

1465 S Grand Blvd, Allergy/immunology
St. Louis, MO 63104-1003

Fax (314) 268-2712

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2016037790 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1770028078

Melissa Ann Bommarito, CPNP-PC's National Provider Identifier is 1770028078, issued on Dec 23, 2016. 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 Mar 11, 2021.