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Bernadette G Addison-Tanner

Registered Nurse, Case Management in Saint Louis, MO. Individual provider (NPI-1).

NPI number1750143566
StatusActive
Last updated in NPPESJan 26, 2024

Details

NPI
1750143566
Entity type
Individual (NPI-1)
Name
Bernadette G Addison-Tanner
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2024
Certification date
Jan 26, 2024
Last updated
Jan 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WC0400X Registered Nurse, Case Management152562MOYes

Practice location

915 N Grand Blvd
Saint Louis, MO 63106-1621

Phone 314-652-4100 · Fax 314-289-6595

Mailing address

401 Hern Ave
Saint Louis, MO 63135-2644

Phone 314-398-6406

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