Tara Marlaine Albert in Saint Louis - Pediatrics

Tara Marlaine Albert - NPI 1124294764

Tara Marlaine Albert is a Pediatrics in Saint Louis, Missouri. Tara Marlaine Albert practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tara Marlaine Albert is 1124294764. The last update date is 2011-06-02.

Tara Marlaine Albert's current location address is 621 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3142516990 and fax number 3142516998. The mailing address for Tara Marlaine Albert is 621 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara Marlaine Albert
Address 621 S New Ballas Rd, Saint Louis, Missouri
Phone Number 3142516990
Fax Number 3142516998
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1124294764
Provider Enumeration Date 2008-05-04
Last Updated Date 2011-06-02

Provider Mailing Address Detail

Address 621 S New Ballas Rd
City Saint Louis
State Missouri (MO)
Post Code 631418232
Phone Number 3142516990
Fax Number 3142516998

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 151691
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1124294764 MO --

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FAQs about Tara Marlaine Albert

What is the unique 10-digit identification code assigned to Tara Marlaine Albert by the Centers for Medicare & Medicaid Services?

The Tara Marlaine Albert has been issued the NPI (National Provider Identifier) 1124294764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tara Marlaine Albert's facilities are situated?

The facilities of Tara Marlaine Albert are physically located at the following address: 621 S New Ballas Rd, Saint Louis, MO, 631418232.

What is the area of specialization for Tara Marlaine Albert, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tara Marlaine Albert is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.

When did Tara Marlaine Albert receive its 1124294764 assignment?

The Tara Marlaine Albert was assigned its 1124294764 on 2008-05-04, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Tara Marlaine Albert last refreshed?

The information related to the Tara Marlaine Albert, including its address, specialty, and other relevant details, was last updated on 2011-06-02.

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