Provider Demographics
NPI:1831595784
Name:ALGEE, NINA
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:ALGEE
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 1:3450 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-1132
Mailing Address - Country:US
Mailing Address - Phone:314-226-7516
Mailing Address - Fax:314-652-1736
Practice Address - Street 1:3030 WHITTIER ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-3245
Practice Address - Country:US
Practice Address - Phone:314-226-7516
Practice Address - Fax:314-762-9806
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 376J00000X
MO374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO3030Medicaid