Individual
TESSIA N CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2013000714
MO
363LN0000X
Neonatal Nurse Practitioner
75692
KS
Other
Enumeration date
11/07/2012
Last updated
11/10/2020
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