Individual
AMANDA HARTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 621-5000
Mailing address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 621-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009015614
MO
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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