Individual
AMANDA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., R.N.
Contact information
Practice address
1430 OLIVE ST, SUITE 100, SAINT LOUIS, MO 63103-2303
(314) 621-5000
Mailing address
905 JANE DR, PARK HILLS, MO 63601-1932
(573) 330-3212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20060211925
MO
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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