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Melissa Kathleen Niewald, R.N.

Registered Nurse in Bridgeton, MO. Individual provider (NPI-1).

NPI number1780968396
StatusActive
Last updated in NPPESSep 30, 2011

Details

NPI
1780968396
Entity type
Individual (NPI-1)
Name
Melissa Kathleen Niewald
Credential
R.N.
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2011
Last updated
Sep 30, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse163W00000XMOYes

Practice location

3268 Gwengreen Dr.
Bridgeton, MO 63044

Phone 314-392-7217

Mailing address

3268 Gwengreen Dr
Bridgeton, MO 63044-3311

Phone 314-392-7217

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