Individual
AMY MARIE GASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-4740
(314) 977-1642
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-4740
(314) 977-1642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020006261
MO
Other
Enumeration date
04/08/2020
Last updated
11/06/2020
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