JOANNE L THANAVARO

SAINT LOUIS, MO
NPI1740475334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  068133)
Enumeration Date2007-09-07
Last Update Date2016-11-14
Business Address
Mrs. JOANNE L THANAVARO ANP
114 N TAYLOR AVE
SAINT LOUIS, MO 63108-2102
Phone number: 314-534-8600
Mailing Address
Mrs. JOANNE L THANAVARO ANP
114 N TAYLOR AVE
SAINT LOUIS, MO 63108-2102
Phone number: 314-534-8600