Abernathy, Tirae Lanise

Abernathy, Tirae Lanise is an individual health care provider with primary practice located at 16736 Stanford Place Dr , Florissant MO 63034-3213. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Abernathy, Tirae Lanise can be contacted via phone (314) 629-7949.

Contact Information

Primary practice address
16736 Stanford Place Dr Florissant MO 63034-3213
Phone: (314) 629-7949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2023035283 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2023035282 Missouri

Profile Details

NPI number 1427741156
LBN Legal business name Abernathy, Tirae Lanise
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated Aug 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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