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NPI Code Detail

MEDICARE: MS. TRICIA NICOLE PAULE PNP

MEDICARE:  MS. TRICIA NICOLE PAULE  PNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner2018024059MO

General Provider Information

NPI Number : 1164842712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRICIA NICOLE PAULE PNP
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-454-2683
Fax Number : 314-454-4633
Provider Business Practice Location Address
First Line : 1 CHILDRENS PL
Second Line : DIV PED NEWBORN MEDICINE
City : SAINT LOUIS
State : MO
Zip : 63110-1002
Country : US
Telephone Number : 314-454-2683
Fax Number : 314-454-4633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2014
Last Update Date : 05/18/2026

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Directions to “ MS. TRICIA NICOLE PAULE PNP” Practice Location

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