NPI 1780536540

Tanya R McNulty, CRMACHWC

Practitioner Phlebology Physician Saint Louis, MO

Practice location

Address: 5210 Wren Ave, Saint Louis, MO 63120-1921
Phone: (314) 565-8006

Registered specialties (3)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 14594 (MO)

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Community Health Worker

Other Service Providers Taxonomy 172V00000X Licence 17640 (MO)

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1780536540
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2026
Record last updated: 12 Feb 2026

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.