Individual provider · Type 1 NPI
Tara Marlaine Albert, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1124294764
Active
Practice location
621 S New Ballas Rd, Suite 537A
St. Louis, MO 63141-8232
Fax (314) 251-6998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 151691 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1124294764
Tara Marlaine Albert, CPNP's National Provider Identifier is 1124294764, issued on May 4, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jun 2, 2011.