Individual
MRS. BRANDIE LYNN BAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4430 MISSOURI AVE # 1267, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE # 1267, FORT LEONARD WOOD, MO 65473-9098
(573) 596-9653
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2009003940
MO
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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