Ayers, Tisa Suzanne

Ayers, Tisa Suzanne is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ayers, Tisa Suzanne can be contacted via phone (314) 251-6339.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2021001577 Missouri

Profile Details

NPI number 1134718893
LBN Legal business name Ayers, Tisa Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2021
Last updated Sep 12th, 2022 - about 3 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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