Individual provider · Type 1 NPI
Tommie Dale
Home Health Registered Nurse · Florissant, MO
NPI number
1861995136
Active
Practice location
3834 Kentucky Derby Dr
Florissant, MO 63034-3323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 2007024069 (MO) |
Home Health Registered Nurse: Definition to come...
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About NPI 1861995136
Tommie Dale's National Provider Identifier is 1861995136, issued on Mar 13, 2018. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Florissant, MO. The record was last updated on Mar 13, 2018.