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General NPI Number Information
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NPI Number | 1447194782
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Entity Type | Individual
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Provider Name | MARISSA ELIZABETH SHEARER MSN, APRN, ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1201 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-607-8156
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Fax |
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Provider Business Mailing Address
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Address Line | 10711 SAINT MATTHEW LN
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City | SAINT ANN
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State | MO
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Zip | 63074-2616
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Country | US
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Telephone | 314-607-8156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2026007462
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2026007462
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License Number State | MO
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