Individual
LESLIE NICOLE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6450
Mailing address
19 CHEROKEE SUNSET CT, O FALLON, MO 63366-5989
(636) 240-9450
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
115341
MO
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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