Tabaka, Angela Lee

Tabaka, Angela Lee is an individual health care provider with primary practice located at 3015 N Ballas Rd St Louis, Saint Louis MO 63131-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Tabaka, Angela Lee can be contacted via phone (314) 996-5223.

Contact Information

Primary practice address
3015 N Ballas Rd St Louis Saint Louis MO 63131-2329
Phone: (314) 996-5223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 153779 Missouri

Profile Details

NPI number 1891700217
LBN Legal business name Tabaka, Angela Lee
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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