Organization
TALLY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TALLY NP-C (OWNER)
(816) 233-7258
Entity
Organization
Contact information
Practice address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
(816) 233-4967
Mailing address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
(816) 233-4967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011005425
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518265941
INDIVIDUAL NPI - AMY TALLY
—
Enumeration date
09/09/2012
Last updated
09/09/2012
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