Individual provider · Type 1 NPI
James Wassel Tarasuik Jr., FNP-BC
Family Nurse Practitioner · St. Louis, MO
NPI number
1396189171
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Mailing address
379 Hug Cemetery Rd
Pocahontas, IL 62275-3532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209010372 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396189171
James Wassel Tarasuik Jr., FNP-BC's National Provider Identifier is 1396189171, issued on Apr 23, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on May 20, 2024.