Provider Demographics
NPI:1952828584
Name:BEZAIRE, MEGHAN CRISMON (FNP)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:CRISMON
Last Name:BEZAIRE
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8234-05-02
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-7260
Mailing Address - Fax:314-362-6288
Practice Address - Street 1:1020 N MASON RD
Practice Address - Street 2:DIV SURG CT ADULT CARDIO, STE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6666
Practice Address - Country:US
Practice Address - Phone:314-362-7260
Practice Address - Fax:314-747-0917
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-11-18
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Provider Licenses
StateLicense IDTaxonomies
MO2022033501363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily