Individual
MS. TRALISSA S LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV NEURO GENERAL, SAINT LOUIS, MO 63110-1003
(314) 362-7241
(314) 362-0338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7241
(314) 362-0338
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2018003390
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420101737
—
MO
Enumeration date
10/07/2018
Last updated
04/17/2025
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