NPI 1265640783 · live from the CMS NPI Registry
Melanie Boerio
Nurse Practitioner, Pediatrics in Columbia, MO. National Provider Identifier 1265640783, active.
NPI record
| NPI | 1265640783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1316 Old Highway 63 S, Suite 200, Columbia, MO 65201 |
| Practice phone | 573-445-4272 |
| Mailing address | 5308 Tiptree Ct, Columbia, MO 65203 |
| Enumerated | May 18, 2007 |
| Last updated | March 26, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 135334 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.