Individual provider · Type 1 NPI

Tara Birke, NP (APRN)

Nurse Practitioner · St. Charles, MO

NPI number 1619412962 Active

Practice location

1475 Kisker Rd Ste 200
St. Charles, MO 63304-8788

Call (636) 498-7880 Map

Fax (636) 498-7889

Mailing address

10330 Old Olive Street Rd
St. Louis, MO 63141-5933

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2016012553 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619412962

Tara Birke, NP (APRN)'s National Provider Identifier is 1619412962, issued on Dec 22, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Charles, MO. The record was last updated on Oct 3, 2025.