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Contact Information

TISA S AYERS
615 S NEW BALLAS RD
SAINT LOUIS, MO63141-8221
 Phone: 314-251-6339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TISA S AYERS · (Female)

NPI Number 1134718893
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2021
Last updated 09/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021001577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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