Bucol, Brenda K

Bucol, Brenda K 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 / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bucol, Brenda K can be contacted via phone (314) 996-8685.

Contact Information

Primary practice address
12634 Olive Blvd Saint Louis MO 63141-6337
Phone: (314) 996-8685
Fax: (314) 996-8479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 091383 Missouri

Profile Details

NPI number 1912903790
LBN Legal business name Bucol, Brenda K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2005
Last updated Jan 24th, 2018 - about 6 years ago

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 1912903790 NPPES
Missouri MEDICAID 912796612
Missouri MEDICAID ENROLLED

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