TIRAE LANISE ABERNATHY

FLORISSANT, MO
NPI1427741156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MO  2023035282)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MO  2023035283)
Enumeration Date2023-05-30
Last Update Date2023-08-28
Business Address
TIRAE LANISE ABERNATHY CNM
16736 STANFORD PLACE DR
FLORISSANT, MO 63034-3213
Phone number: 314-629-7949
Mailing Address
TIRAE LANISE ABERNATHY CNM
16736 STANFORD PLACE DR
FLORISSANT, MO 63034-3213
Phone number: