Individual provider · Type 1 NPI

Brook Raye

Family Nurse Practitioner · St. Louis, MO

NPI number 1710252176 Active

Practice location

9417 S Broadway
St. Louis, MO 63125-2009

Fax (314) 833-4031

Mailing address

5501 Delmar Blvd Ste B560
St. Louis, MO 63112-3084

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2011041300 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1710252176

Brook Raye's National Provider Identifier is 1710252176, issued on Mar 19, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2026.