The Fruit of the Womb Women S Health Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

THE FRUIT OF THE WOMB WOMEN S HEALTH CENTER LLC

Practice address

637 Dunn Rd Ste 143
Hazelwood, MO 63042-1755

Phone

(314) 724-4354

NPI assigned

Dec 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tanika Cherai McClary, APN

Title

Women'S Health Nurse Practitioner

Phone

(314) 724-4354

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299283200000",
    "number": "1780986331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12519 QUESTOVER CT",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416385",
            "telephone_number": "314-724-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DUNN RD STE 143",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421755",
            "telephone_number": "314-724-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FRUIT OF THE WOMB WOMEN S HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-03-05",
        "status": "A",
        "authorized_official_last_name": "MCCLARY",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_middle_name": "CHERAI",
        "authorized_official_title_or_position": "WOMEN'S HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-724-4354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.