Individual
BRIANA RAE TOOTHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLAZA DRIVE, MAIL STOP 90-00-174, ST. LOUIS, MO 63110-1003
(314) 362-3382
Mailing address
2713 CEDAR GROVE DR, BELLEVILLE, IL 62221-7411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024004878
MO
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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