Individual
DARLA JEAN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CS, ANP
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 30163, SAINT LOUIS, MO 63141-8232
(314) 251-6339
Mailing address
937 JUSTICE CT, FLORISSANT, MO 63034-2050
(314) 837-3204
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
085975
MO
Other
Enumeration date
06/07/2006
Last updated
07/14/2010
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