NPI 1013742857

Tiffany Nelson

Practitioner Specialist Saint Louis, MO

Practice location

Address: 3863 Cleveland Ave, Saint Louis, MO 63110-4009
Phone: (314) 664-3927
Fax: (314) 664-0556

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1013742857
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2024
Record last updated: 3 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.