| Brenda Harris, FNP | |
|
850 Country Manor Ln, Creve Coeur, MO 63141-6651 | |
| (314) 434-5900 | |
| Not Available |
| Full Name | Brenda Harris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 850 Country Manor Ln, Creve Coeur, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619535986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2019007080 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Provident Inc | 0345217279 | 20 |
| Entity Name | Provident Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710023791 PECOS PAC ID: 0345217279 Enrollment ID: O20050407000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Harris, FNP 850 Country Manor Ln, Creve Coeur, MO 63141-6651 Ph: (314) 434-5900 | Brenda Harris, FNP 850 Country Manor Ln, Creve Coeur, MO 63141-6651 Ph: (314) 434-5900 |
Meghan M Moore, MSN, AGACNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd Ste 112a, Creve Coeur, MO 63141 Phone: 314-251-6339 Fax: 314-251-4564 | |
Mrs. Michele F. Salvatore, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 N New Ballas Rd Ste 240, Creve Coeur, MO 63141 Phone: 314-842-0340 Fax: 314-842-0742 | |
April Lorraine Taylor, MSN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 S New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-251-6000 | |
Marie M Webb, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 650 Maryville University Dr, Creve Coeur, MO 63141 Phone: 800-627-9855 | |
Brittany Wort, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 | |
Machalle Akhtar Mughal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11560 Olive Blvd, Creve Coeur, MO 63141 Phone: 314-995-7128 | |
Keara Cobbs, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12401 Olive Blvd Ste 206, Creve Coeur, MO 63141 Phone: 888-410-5230 |