Individual
AMY SCHAWACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
12655 OLIVE BLVD FL 4, SAINT LOUIS, MO 63141
(314) 851-1000
(314) 851-4477
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2003015722
MO
Other
Enumeration date
05/14/2009
Last updated
08/27/2018
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