Individual
MS. TAMARA DANIELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(314) 533-1871
(314) 261-9469
Mailing address
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104-3602
(314) 533-1871
(314) 261-9469
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2011023084
MO
Other
Enumeration date
05/03/2012
Last updated
11/14/2022
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