Individual
ANDREA MARIA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10800 OLIVE BLVD, SAINT LOUIS, MO 63141-7773
(314) 993-0963
Mailing address
10800 OLIVE BLVD, SAINT LOUIS, MO 63141-7773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007007
IL
363A00000X
Physician Assistant
Primary
2025029775
MO
Other
Enumeration date
02/25/2019
Last updated
09/25/2025
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