Fiala, Tara Anne

Fiala, Tara Anne is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Academics, Ste 2D, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fiala, Tara Anne can be contacted via phone (314) 454-6300.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Academics, Ste 2D Saint Louis MO 63110-1002
Phone: (314) 454-6300
Fax: (833) 969-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2022046135 Missouri

Profile Details

NPI number 1316658677
LBN Legal business name Fiala, Tara Anne
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated Apr 25th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316658677 NPPES
Missouri MEDICAID 420120730

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