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NPI Code Detail

MEDICARE: MS. TAMARA SCAIFE A.N.P

MEDICARE: MS. TAMARA SCAIFE A.N.P
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
1363LA2200XAdult Health Nurse Practitioner209014932IL
2363LA2200XAdult Health Nurse Practitioner153644MO

General Provider Information

NPI Number : 1942433396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMARA SCAIFE A.N.P
Provider Business Mailing Address
First Line : 11155 DUNN RD
Second Line : SUITE 304E
City : SAINT LOUIS
State : MO
Zip : 63136-6150
Country : US
Telephone Number : 314-741-0911
Fax Number : 314-653-3671
Provider Business Practice Location Address
First Line : 3550 MCKELVEY RD
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2527
Country : US
Telephone Number : 314-741-0911
Fax Number : 314-741-0501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2009
Last Update Date : 12/06/2021

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