Andrea Lashelle Bruce in St Louis - Licensed Practical Nurse
Andrea Lashelle Bruce - NPI 1013011741
Andrea Lashelle Bruce is a Licensed Practical Nurse in St Louis, Missouri. Andrea Lashelle Bruce practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Andrea Lashelle Bruce is 1013011741. The last update date is 2007-07-08.
Andrea Lashelle Bruce's current location address is 5471 Dr Martin Luther King Dr, St Louis, Missouri. You can contact this provider via phone number 3143675820 and fax number 3143677010. The mailing address for Andrea Lashelle Bruce is 5471 Dr Martin Luther King Dr, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Lashelle Bruce |
|---|---|
| Address | 5471 Dr Martin Luther King Dr, St Louis, Missouri |
| Phone Number | 3143675820 |
| Fax Number | 3143677010 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1013011741 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5471 Dr Martin Luther King Dr |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631124265 |
| Phone Number | 3143675820 |
| Fax Number | 3143677010 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 2005017822 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andrea Lashelle Bruce by the Centers for Medicare & Medicaid Services?
The Andrea Lashelle Bruce has been issued the NPI (National Provider Identifier) 1013011741, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Andrea Lashelle Bruce?
The Andrea Lashelle Bruce is physically situated at 5471 Dr Martin Luther King Dr, in the city of St Louis, state of MO, with the postal code 631124265.
What is the Andrea Lashelle Bruce's area of specialization and corresponding taxonomy classification?
The Andrea Lashelle Bruce's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013011741 to Andrea Lashelle Bruce?
The Centers for Medicare & Medicaid Services originally issued the 1013011741 to Andrea Lashelle Bruce on 2006-09-12.
As of what date were the details pertaining to Andrea Lashelle Bruce last refreshed?
The information related to the Andrea Lashelle Bruce, including its address, specialty, and other relevant details, was last updated on 2007-07-08.