Provider Demographics
NPI:1487832176
Name:MEZEI, VIRGINIA ANN (RN, MSN, ANP-CS)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:ANN
Last Name:MEZEI
Suffix:
Gender:F
Credentials:RN, MSN, ANP-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:MO
Mailing Address - Zip Code:63332-1018
Mailing Address - Country:US
Mailing Address - Phone:636-357-5455
Mailing Address - Fax:
Practice Address - Street 1:1 JEFFERSON BARRACKS DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63125-4181
Practice Address - Country:US
Practice Address - Phone:636-357-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO135280363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health