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NPI 1861995136

IndividualActive

Tommie Dale

NPI 1861995136 · Home Health Registered Nurse · Florissant, MO

Provider details

NPI number: 1861995136
Entity type: Individual
Primary specialty: Home Health Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 2007024069 (MO)

Practice location

3834 Kentucky Derby Dr

Florissant, MO 63034-3323

Phone: (314) 276-8596

More MO providers

Mailing address

3834 Kentucky Derby Dr

Florissant, MO 63034-3323

Registry dates

Enumerated: 2018-03-13
Last updated: 2018-03-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tommie Dale — NPI 1861995136, Florissant, MO | NPI Central