MELISSA ANN BOMMARITO CPNP-PC NPI 1770028078

NPI Information

NPI: 1770028078
Provider Name: MELISSA ANN BOMMARITO, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1465 S GRAND BLVD
ALLERGY/IMMUNOLOGY
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 268-4014
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Melissa Ann Bommarito, CPNP-PC is a pediatrics nurse practitioner in Saint Louis, MO. Melissa Ann Bommarito, CPNP-PC NPI is 1770028078. 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:

1465 S GRAND BLVD
ALLERGY/IMMUNOLOGY
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 268-4014
Fax: (314) 268-2712

The NPI 1770028078 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 12/23/2016 and was last updated on 3/11/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	2016037790	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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