Individual
AMANDA M MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12303 DEPAUL DR., BRIDGETON, MO 63044-0000
(314) 344-6169
(314) 344-7997
Mailing address
PO BOX 503913, SAINT LOUIS, MO 63150-3913
(314) 344-6169
(314) 344-7997
Taxonomy
Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
2007021025
MO
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
2007021025
MO
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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