Individual
CHRISTINA SAMANTHA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 388-0999
Mailing address
3443 N BELLEFONTAINE AVE, KANSAS CITY, MO 64117-2411
(816) 588-0551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2023041510
MO
163WM0705X
Medical-Surgical Registered Nurse
2023041510
MO
163WP0808X
Psychiatric/Mental Health Registered Nurse
2023041510
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023041510
NURSINGLICENSE
MO
Enumeration date
03/04/2026
Last updated
03/04/2026
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