Individual provider · Type 1 NPI

Stacey Melliere

Registered Nurse · St. Louis, MO

NPI number 1780120865 Active

Practice location

4130 Lindell Blvd
St. Louis, MO 63108-2914

Mailing address

2730 Sedan Dr
St. Louis, MO 63125-4054

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2016009690 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1780120865

Stacey Melliere's National Provider Identifier is 1780120865, issued on Jan 12, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 12, 2017.