Individual provider · Type 1 NPI

Tamara Joan Runge

Psychiatric/Mental Health Nurse Practitioner · St. Louis, MO

NPI number 1104483379 Active

Practice location

3535 S Jefferson Ave Ste 118
St. Louis, MO 63118-3907

Call (314) 773-1822 Map

Mailing address

9847 Crestwick Dr
St. Louis, MO 63128-1136

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2019013005 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104483379

Tamara Joan Runge's National Provider Identifier is 1104483379, issued on May 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis, MO. The record was last updated on May 23, 2019.