Provider Demographics
NPI:1699501841
Name:TINDALL-HOWARD, SHERYL MARIE
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:MARIE
Last Name:TINDALL-HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 WELSCH INDUSTRIAL CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4222
Mailing Address - Country:US
Mailing Address - Phone:314-714-0072
Mailing Address - Fax:314-356-9850
Practice Address - Street 1:2248 WELSCH INDUSTRIAL CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4222
Practice Address - Country:US
Practice Address - Phone:314-714-0072
Practice Address - Fax:314-356-9850
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041357860163WG0000X
MO2006029400163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice