Individual provider · Type 1 NPI

Tanika Joi Prowell, RN

Registered Nurse · St. Louis, MO

NPI number 1104101872 Active

Practice location

4000 Jennings Station Rd
St. Louis, MO 63121-3323

Fax (314) 679-7846

Mailing address

111 S Meramec Ave, 41 S Central Ave
Clayton, MO 63105-1711

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2006007421 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104101872

Tanika Joi Prowell, RN's National Provider Identifier is 1104101872, issued on Oct 13, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 13, 2011.