NPI 1881716173 · live from the CMS NPI Registry
Carole Ann Branch, APRN,BC
Nurse Practitioner, Pediatrics in Saint Louis, MO. National Provider Identifier 1881716173, active.
NPI record
| NPI | 1881716173 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Childrens Pl, Saint Louis, MO 63110 |
| Practice phone | 314-454-2052 |
| Mailing address | 4806 King Andrew Park, St. Louis, MO 63129 |
| Enumerated | April 6, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 069314 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.