Individual
SHERRY TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
(314) 741-0501
Mailing address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2527
(314) 741-0911
(314) 741-0501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011006159
MO
363LF0000X
Family Nurse Practitioner
209008717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811286305
—
MO
Enumeration date
04/05/2011
Last updated
12/06/2021
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