BROOKE WATTS FNP NPI 1073344891

NPI Information

  • NPI: 1073344891
  • Provider Name: BROOKE WATTS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10012 KENNERLY RD STE 300
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 842-0602

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NPI Details

Brooke Watts, FNP is a family nurse practitioner in Saint Louis, MO. Brooke Watts, FNP NPI is 1073344891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10012 KENNERLY RD STE 300
SAINT LOUIS, MO
ZIP 63128-197
Phone: (314) 842-0602

The NPI 1073344891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2024 and was last updated on 9/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2024032567MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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