Most Relevant Information
Provider Data
| NPI Number: | 1003647470 |
| Provider Name: | MARISSA ROSE PEREZ-MAGNELLI PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 2024012233 |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 09/10/2024 |
Provider Practice Location
1 CHILDRENS PL
DEPT NEUROLOGY, STE 2130
SAINT LOUIS
MO
631101002
Practice Location Phone/Fax
| Phone: | 3144546120 |
| Fax: | 3144544225 |
Provider Mailing Location
PO BOX 60352
SAINT LOUIS
MO
631600352
Provider Mailing Phone/Fax
| Phone: | 3144546120 |
| Fax: | 3144544225 |