Individual
TARA BIRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP (APRN)
Contact information
Practice address
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304-8788
(636) 498-7880
(636) 498-7889
Mailing address
10330 OLD OLIVE STREET RD, SAINT LOUIS, MO 63141-5933
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016012553
MO
Other
Enumeration date
12/22/2016
Last updated
10/03/2025
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