Individual provider · Type 1 NPI

Sophai Thach

Family Nurse Practitioner · St. Louis, MO

NPI number 1801430442 Active

Practice location

9717 Landmark Parkway Dr
St. Louis, MO 63127-1628

Mailing address

2090 Hackmann Estates Dr
St. Charles, MO 63303-4471

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF09190892 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1801430442

Sophai Thach's National Provider Identifier is 1801430442, issued on Nov 6, 2019. 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 Nov 6, 2019.