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NPI Code Detail

MEDICARE: MARISSA ELIZABETH SHEARER MSN, APRN, ACNP-BC

MEDICARE: MARISSA ELIZABETH SHEARER MSN, APRN, ACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2026007462MO
2363LA2100XAcute Care Nurse Practitioner2026007462MO

General Provider Information

NPI Number : 1447194782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA ELIZABETH SHEARER MSN, APRN, ACNP-BC
Provider Business Mailing Address
First Line : 10711 SAINT MATTHEW LN
Second Line :
City : SAINT ANN
State : MO
Zip : 63074-2616
Country : US
Telephone Number : 314-607-8156
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1016
Country : US
Telephone Number : 314-607-8156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/17/2026

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