Individual
AMANDA CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 N HIGHWAY 67 ST STE 104, FLORISSANT, MO 63031-2939
(314) 584-3100
Mailing address
917 N HIGHWAY 67 ST STE 104, FLORISSANT, MO 63031-2939
(314) 584-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2023024911
MO
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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