Individual
MS. CARRIE LYNN BRANDSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM INFECTIOUS DISEASE, SAINT LOUIS, MO 63110-1003
(314) 747-1206
(314) 454-8687
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-1206
(314) 454-8687
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2014042022
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2014042022
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420026041
—
MO
Enumeration date
12/16/2014
Last updated
04/15/2025
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