Individual
AMANDA RAE MCVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, CCRN
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1033
Mailing address
1122 VICKSBURG DR, FESTUS, MO 63028-3479
(314) 608-0374
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2005022625
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2018019047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910057095
—
MO
Enumeration date
04/11/2018
Last updated
01/24/2019
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