Individual
BRANDY L RAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-1701
Mailing address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-1701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2016003655
MO
Other
Enumeration date
03/04/2016
Last updated
07/03/2024
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