Individual
BRIANNA SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1965 S FREMONT AVE, SUITE 230, SPRINGFIELD, MO 65804-2201
(417) 820-3800
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(855) 420-7900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011013272
MO
363LF0000X
Family Nurse Practitioner
Primary
2016042371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
05
—
PENDING
—
MO
05
—
PENDING
—
OK
Enumeration date
11/21/2016
Last updated
12/06/2016
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