Individual
MR. BRANT WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN-BC
Contact information
Practice address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2014031693
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014031692
RN
MO
Enumeration date
10/28/2022
Last updated
10/28/2022
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