Individual
BROOKE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
Mailing address
10012 KENNERLY RD STE 300, SAINT LOUIS, MO 63128-2197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024032567
MO
Other
Enumeration date
08/13/2024
Last updated
09/12/2024
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