MELINDA JO WOLTERS LA SALLE MSN ACNP-BC NPI 1285912832

NPI Information

NPI: 1285912832
Provider Name: MELINDA JO WOLTERS LA SALLE, MSN, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106
Phone: (314) 652-4100
Get Directions

Melinda Jo Wolters La Salle, MSN, ACNP-BC is an acute care nurse practitioner in Saint Louis, MO. Melinda Jo Wolters La Salle, MSN, ACNP-BC NPI is 1285912832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

915 N GRAND BLVD
SAINT LOUIS, MO
ZIP 63106-621
Phone: (314) 652-4100

The NPI 1285912832 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2011 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2010031271	MISSOURI	No
2	363L00000X	Nurse Practitioner		2011015338	MISSOURI	No
3	363LA2100X	Nurse Practitioner	Acute Care	2011015338	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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