NPI 1124294764 · live from the CMS NPI Registry
Tara Marlaine Albert, CPNP
Nurse Practitioner, Pediatrics in Saint Louis, MO. National Provider Identifier 1124294764, active.
NPI record
| NPI | 1124294764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 621 S New Ballas Rd, Suite 537a, Saint Louis, MO 63141 |
| Practice phone | 314-251-6990 |
| Enumerated | May 4, 2008 |
| Last updated | June 2, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 151691 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.