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NPI 1912396995

IndividualActive

Brandy Kotzamanis

NPI 1912396995 · Licensed Practical Nurse · Saint Louis, MO

Provider details

NPI number: 1912396995
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 043.080643 (IL)

Practice location

1430 Olive St

Saint Louis, MO 63103-2303

Phone: (314) 206-3752

Fax: (314) 588-8089

More MO providers

Mailing address

1430 Olive St

Saint Louis, MO 63103-2303

Registry dates

Enumerated: 2015-01-14
Last updated: 2015-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brandy Kotzamanis — NPI 1912396995, Saint Louis, MO | NPI Central