Bronson, Dayna Evans

Bronson, Dayna Evans is an individual health care provider with primary practice located at 12634 Olive Blvd , Saint Louis MO 63141-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bronson, Dayna Evans can be contacted via phone (314) 996-8000.

Contact Information

Primary practice address
12634 Olive Blvd Saint Louis MO 63141-6337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2015038027 Missouri

Profile Details

NPI number 1821452533
LBN Legal business name Bronson, Dayna Evans
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Jan 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821452533 NPPES
Missouri MEDICAID 420058026

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