Individual
MS. BRITTANY ANN HEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
456 NEW NEW BALLAS, SUITE 348, SAINT LOUIS, MO 63141
(314) 548-0265
(314) 548-6555
Mailing address
456 N NEW BALLAS RD STE 348, SAINT LOUIS, MO 63141-6846
(314) 548-0265
(314) 548-6555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2013000137
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
01/07/2013
Last updated
04/08/2021
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