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Individual

JAMES BRANCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PNP

Contact information

Practice address
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141-8251
(314) 966-0111
(314) 336-0008
Mailing address
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141-8251
(314) 251-3500
(314) 251-3502

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
121132
MO
164W00000X
Licensed Practical Nurse
121132
MO
363L00000X
Nurse Practitioner
Primary
121132
MO

Other

Enumeration date
05/24/2007
Last updated
04/06/2026
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