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Individual

BRITTANY WORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11560 OLIVE BLVD, CREVE COEUR, MO 63141-7111
(314) 995-7128
Mailing address
7547 AHERN AVE, SAINT LOUIS, MO 63130-2117
(314) 540-5478

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014005737
MO

Other

Enumeration date
06/16/2014
Last updated
10/21/2016
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