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MS. LAUREL A WIERSEMA BRYANT ANP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1306024781

Individual Registrant:
MS. LAUREL A WIERSEMA BRYANT ANP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 BARNES JEWISH HOSPITAL PLZ DIV SURG GENERAL SAINT LOUIS, MO 63110-1003 US
Tel: 314-747-2829  Fax: 314-362-5743

Contact information for business:
660 S EUCLID AVE MSC 8109-43-1160 SAINT LOUIS, MO 63110-1010 US
Tel: 314-747-2829  Fax: 314-362-5743

Registration Information:
NPI: 1306024781
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
MO080003

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
427861406MO05




HEALTH CARE JOBS MO - Page 1



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