| James Branca, PNP | |
|
621 S New Ballas Rd Ste 63b, Saint Louis, MO 63141-8251 | |
| (314) 966-0111 | |
| (314) 336-0008 |
| Full Name | James Branca |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Pediatrics |
| Location | 621 S New Ballas Rd Ste 63b, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770794869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 121132 (Missouri) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 121132 (Missouri) | Primary |
| Entity Name | Mercy Clinic Childrens Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649349804 PECOS PAC ID: 4385076199 Enrollment ID: O20191118000151 |
| Mailing Address | Practice Location Address |
|---|---|
| James Branca, PNP 621 S New Ballas Rd Ste 63b, Saint Louis, MO 63141-8251 Ph: (314) 966-0111 | James Branca, PNP 621 S New Ballas Rd Ste 63b, Saint Louis, MO 63141-8251 Ph: (314) 966-0111 |
Maryann Signaigo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 Jennings Station Rd, Saint Louis, MO 63121 Phone: 314-679-7880 Fax: 314-679-7876 | |
Tracy Lynn Cropper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3800 S Broadway, Saint Louis, MO 63118 Phone: 314-772-2205 Fax: 314-772-9264 | |
Michelle Apple, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 546 Kinswood Ln, Saint Louis, MO 63129 Phone: 314-487-2047 | |
Ms. Shanel Montalvo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2248 Welsch Industrial Ct, Saint Louis, MO 63146 Phone: 314-356-9830 | |
Gail S Lewis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 New Ballas Pl Apt 436, Saint Louis, MO 63146 Phone: 305-799-6010 | |
Miss Lauren Whitney Stone, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 Jennings Station Rd, Saint Louis, MO 63121 Phone: 314-679-7914 | |
Kristin Johnson, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 760 Office Pkwy, Saint Louis, MO 63141 Phone: 314-995-4700 Fax: 314-995-4701 |