Individual provider · Type 1 NPI
Bernadette G. Addison-Tanner
Case Management Registered Nurse · St. Louis, MO
NPI number
1750143566
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Fax (314) 289-6595
Mailing address
401 Hern Ave
St. Louis, MO 63135-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 152562 (MO) |
Case Management Registered Nurse: Definition to come...
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About NPI 1750143566
Bernadette G. Addison-Tanner's National Provider Identifier is 1750143566, issued on Jan 26, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 26, 2024.