Individual
TAMMY LYNN CORYELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-NC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(402) 525-4706
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2012011746
MO
Other
Enumeration date
03/19/2012
Last updated
05/16/2022
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