Individual
CAITLIN AMANDA PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
400 MID RIVERS MALL DR, SAINT PETERS, MO 63376-1577
(636) 279-1516
Mailing address
400 MID RIVERS MALL DR, SAINT PETERS, MO 63376-1577
(636) 279-1516
(401) 799-5849
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2018040229
MO
363L00000X
Nurse Practitioner
2018040229
MO
363L00000X
Nurse Practitioner
209025210
IL
363LF0000X
Family Nurse Practitioner
Primary
2019039233
MO
Other
Enumeration date
10/31/2018
Last updated
11/27/2024
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