Provider Demographics
NPI:1184114274
Name:MELOY, MEGAN MARIE LABBE (MSN, APRN)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MARIE LABBE
Last Name:MELOY
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 PARKVIEW VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4206
Mailing Address - Country:US
Mailing Address - Phone:314-800-5514
Mailing Address - Fax:
Practice Address - Street 1:226 S WOODS MILL RD STE 68W
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3665
Practice Address - Country:US
Practice Address - Phone:314-205-6788
Practice Address - Fax:314-590-5954
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041452820163W00000X
MO2010007991163WX0003X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient