Doctor Name: | MS. LARITA RENEE WINGS |
NPI Number: | 1811226046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4030 Cottage Ave Saint Louis, MO - 631133204 |
Business Phone Number: | 3145659615 |
Business Fax Number: | |
Mailing Address: | 4030 Cottage Ave, SAINT LOUIS |
State: | MO |
Postal Code: | 631133204 |
Phone Number: | 3143711001 |
Fax Number: | 3143711937 |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |