Lee A Tardino
Nurse Practitioner - Adult Health
4 Memorial Dr Ste 210
Alton
, Illinois 62002
Lee A Tardino
Nurse Practitioner - Adult Health
4 Memorial Dr Ste 210
Alton
, Illinois 62002
(618) 463-5935
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Lee A Tardino
- 4 Memorial Dr Ste 210
- Alton, IL
- Zip : 62002-6751
- Fax : (618) 463-5935
- Phone : (618) 463-5905
Second Address
- Lee A Tardino
- 4 Memorial Dr Ste 210
- Alton, IL
- Zip : 62002
- Fax : (618) 463-5935
- Phone : (618) 463-5905
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Is Lee A Tardino a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 148611 | MO |
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 209-000751 | IL |
National Provider Identifier
| NPI | 1023120797 |
|---|---|
| Provider Name | Lee A Tardino |
| First Address | Alton, IL 62002-6751 |
| Second Address | Alton, IL 62002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 29/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S97920 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.