Individual provider · Type 1 NPI

Brandy Kotzamanis

Licensed Practical Nurse · St. Louis, MO

NPI number 1912396995 Active

Practice location

1430 Olive St
St. Louis, MO 63103-2303

Fax (314) 588-8089

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.080643 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1912396995

Brandy Kotzamanis's National Provider Identifier is 1912396995, issued on Jan 14, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 14, 2015.