Individual provider · Type 1 NPI
Lee A. Tardino, MSN ANP
Adult Health Nurse Practitioner · Alton, IL
NPI number
1023120797
Active
Practice location
4 Memorial Dr Ste 210
Alton, IL 62002
Fax (618) 463-5935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 148611 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209-000751 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1023120797
Lee A. Tardino, MSN ANP's National Provider Identifier is 1023120797, issued on Aug 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Alton, IL. The record was last updated on Jun 29, 2018.