NPI 1083297212
Tiarra Denise Young
Practice location
- Address
- 12355 Depaul Drive, Bridgeton, MO 63044
- Phone
- (314) 344-7200
- Mailing address
- 1430 Olive St STE 400, Saint Louis, MO 63103-2303
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1083297212
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 May 2021
- Record last updated
- 5 May 2021
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.