Whalio Doctors

NPI 1013011741

Andrea Lashelle Bruce, LPN

Practitioner Licensed Practical Nurse St Louis, MO

Practice location

Address
5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265
Phone
(314) 367-5820
Fax
(314) 367-7010

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 2005017822 (MO)

Registry record

NPI
1013011741
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.