BRANDY L RAICH

SAINT LOUIS, MO
NPI1891155768
Former NameBRANDY MCKINNIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2016003655)
Enumeration Date2016-03-04
Last Update Date2024-07-03
Business Address
BRANDY L RAICH ANP
625 S NEW BALLAS RD STE 2015
SAINT LOUIS, MO 63141-8253
Phone number: 314-251-1700
Mailing Address
BRANDY L RAICH ANP
625 S NEW BALLAS RD STE 2015
SAINT LOUIS, MO 63141-8253
Phone number: 314-251-1700