Individual
AMANDA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4400 CLAYTON AVE, SAINT LOUIS, MO 63110-1624
(314) 432-3600
Mailing address
4400 CLAYTON AVE, SAINT LOUIS, MO 63110-1624
(314) 432-3600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2015012085
MO
Other
Enumeration date
05/05/2015
Last updated
07/08/2020
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