Individual ProviderMary H BriceNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3023 N Ballas Rd, Suite 500d Rheumatology & Internal Med Assoc Of West Co, St Louis, MO 63131(314) 567-4541PECOS EnrollmentBased on the most recent information from CMS, provider Mary H Brice does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134310519Provider TypeIndividualFull NameBrice, Mary HTitleMrs.CredentialRN BC ANPGenderFemaleSole ProprietorNoEnumeration Date8/9/2007Last Updated8/9/2007Contact InformationPractice LocationPractice Address3023 N Ballas Rd, Suite 500d Rheumatology & Internal Med Assoc Of West Co, St Louis, MO 63131Phone(314) 567-4541Fax(314) 569-3647Mailing LocationMailing Address3023 N Ballas Rd, Suite 500d, St Louis, MO 63131Phone(314) 567-4541Fax(314) 569-3647Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense052034Missouri