Healthcare Provider Details

I. General information

NPI: 1831242858
Provider Name (Legal Business Name): MELODY ANN PATTERSON APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 PENNSYLVANIA AVE
SAINT LOUIS MO
63133-1325
US

IV. Provider business mailing address

1261 HARVEST RIDGE DR
SAINT CHARLES MO
63303-5993
US

V. Phone/Fax

Practice location:
  • Phone: 314-512-7601
  • Fax: 314-512-7612
Mailing address:
  • Phone: 636-940-0126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number061336
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number061336
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: