Tanja Harden LPN

NPI 1265837116 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1265837116
Gender Female
Enumeration Date 11/04/2014
Last Updated 11/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS MO, 63146-3209, US
Phone (314) 819-0480
Fax
Business Location
12242 CHESAPEAKE DR
FLORISSANT MO, 63033-5208, US
Phone (314) 685-4182
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Missouri
License Number PN053630
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According to our database, Ms. Tanja Harden LPN NPI is 1265837116, taxonomy code is 164W00000X and license number is PN053630, license state is located at Missouri. Tanja Harden LPN physically located at 11960 Westline Industrial Dr Ste 201, Saint Louis MO, 63146-3209. NPI Number Tanja Harden LPN has the Individual type.

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1265837116 NPI number is provided on an as is basis without warranty of any kind. 1265837116 is maintained by the National Plan & Provider Enumeration System. The contents of Tanja Harden LPN are for informational purposes only.