IndividualActive
Andrea Bruce, LPN
NPI 1013011741 · Licensed Practical Nurse · St Louis, MO
Provider details
- NPI number
- 1013011741
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 2005017822 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
5471 Dr Martin Luther King Dr
St Louis, MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Approximate (ZIP-level) locationGet directions
Mailing address
5471 Dr Martin Luther King Dr
St Louis, MO 63112-4265
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.