Individual
MADELEINE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
13319 MANCHESTER RD, SAINT LOUIS, MO 63131-1710
(314) 582-5491
Mailing address
820 BROWNELL AVE, SAINT LOUIS, MO 63122-3237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018003994
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2021041454
MO
Other
Enumeration date
01/17/2022
Last updated
05/21/2025
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