Provider Demographics
NPI:1134310519
Name:BRICE, MARY H (RN BC ANP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:H
Last Name:BRICE
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Gender:F
Credentials:RN BC ANP
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Mailing Address - Street 1:3023 N BALLAS RD
Mailing Address - Street 2:SUITE 500D
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-567-4541
Mailing Address - Fax:314-569-3647
Practice Address - Street 1:3023 N BALLAS RD
Practice Address - Street 2:SUITE 500D RHEUMATOLOGY & INTERNAL MED ASSOC OF WEST CO
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-567-4541
Practice Address - Fax:314-569-3647
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO052034363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner