Provider Demographics
NPI:1467210930
Name:GERSTENKORN, BRITTANY KAY (NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:KAY
Last Name:GERSTENKORN
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:KAY
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP-BC
Mailing Address - Street 1:2017 MACKLIND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2727
Mailing Address - Country:US
Mailing Address - Phone:636-352-9239
Mailing Address - Fax:
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8221
Practice Address - Country:US
Practice Address - Phone:314-251-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024034347363LN0000X
MO2019034675163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care