Individual
NATALIYA BRUSLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5060
(314) 996-4596
Mailing address
16 TUPELO CT, SAINT CHARLES, MO 63303-5999
(314) 330-5516
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG05210062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AG05210062
—
MO
Enumeration date
05/17/2022
Last updated
05/17/2022
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