Individual provider · Type 1 NPI
Tisa Suzanne Ayers
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1134718893
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Mailing address
230 Normandie Dr
Bonne Terre, MO 63628-9215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2021001577 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1134718893
Tisa Suzanne Ayers's National Provider Identifier is 1134718893, issued on Jan 15, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Sep 12, 2022.