Most Relevant Information
Provider Data
| NPI Number: | 1003577925 |
| Provider Name: | MEGHAN M MOORE MSN, AGACNP, FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2021039037 |
Most Important Dates
| Enumeration Date: | 01/03/2022 |
| Last Updated: | 05/02/2022 |
Provider Practice Location
621 S NEW BALLAS RD STE 112A
CREVE COEUR
MO
631418252
Practice Location Phone/Fax
| Phone: | 3142516339 |
| Fax: | 3142514564 |
Provider Mailing Location
7050 DARTMOUTH AVE
SAINT LOUIS
MO
631302314
Provider Mailing Phone/Fax
| Phone: | 3145609498 |
| Fax: |