Individual
MRS. CAROLE ANN BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2052
(314) 454-2403
Mailing address
4806 KING ANDREW PARK, ST. LOUIS, MO 63129
(314) 892-0439
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
069314
MO
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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