Alexis Tatter

NPI 1386119303 · on the registry since 2018 · sole proprietor

Practice

Address: 2407 Kentucky St
Louisiana, MO 63353
Phone: (573) 754-5456
Organisation at this address: Nbh2 Mgopco Llc
Community Care Center Of Louisiana, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225X00000X
225X00000X
Also registered as: 225X00000X
225X00000X
225X00000X
225X00000X
Licence states on file: IA, WI, MO, MT, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri