Individual
TANYA HARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3009 N BALLAS RD STE 102B, SAINT LOUIS, MO 63131-2343
(314) 996-4008
(314) 996-5611
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019009484
MO
363LF0000X
Family Nurse Practitioner
2019009484
MO
Other
Enumeration date
05/17/2019
Last updated
09/19/2025
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