Individual
MS. LAUREL A WIERSEMA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG GENERAL, SAINT LOUIS, MO 63110-1003
(314) 747-2829
(314) 362-5743
Mailing address
660 S EUCLID AVE, MSC 8109-43-1160, SAINT LOUIS, MO 63110-1010
(314) 747-2829
(314) 362-5743
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
080003
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427861406
—
MO
Enumeration date
02/07/2008
Last updated
11/15/2021
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