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NPI Code Detail

MEDICARE: MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR

MEDICARE: MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR
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
1163W00000XRegistered Nurse26D0921638MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346248739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARSHA VICTORIA THOMAS-ROBERTS DIRECTOR
Provider Business Mailing Address
First Line : 23 N OAKS PLZ
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-2917
Country : US
Telephone Number : 314-382-9700
Fax Number : 314-385-2500
Provider Business Practice Location Address
First Line : 23 N OAKS PLZ
Second Line : SUITE 250
City : SAINT LOUIS
State : MO
Zip : 63121-2917
Country : US
Telephone Number : 314-382-9700
Fax Number : 314-385-2500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 08/01/2007

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