Smith, Melinda Michele

Smith, Melinda Michele is an individual health care provider with primary practice located at 5669 Delmar Blvd , Saint Louis MO 63112-2615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Melinda Michele can be contacted via phone (314) 531-1770.

Contact Information

Primary practice address
5669 Delmar Blvd Saint Louis MO 63112-2615
Phone: (314) 531-1770
Fax: (314) 241-1185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X COA 13241-NS Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20210443385 Missouri

Profile Details

NPI number 1831446863
LBN Legal business name Smith, Melinda Michele
Credentials DNP, PMHNP, ACNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2012
Last updated Feb 8th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831446863 NPPES
Ohio MEDICAID 0241705

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