Individual
AMANDA MICHELLE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11445 OLIVE BLVD, CREVE COEUR, MO 63141
(314) 428-9543
(314) 428-9542
Mailing address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017021165
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017021165
ANCC
MO
Enumeration date
09/01/2017
Last updated
08/16/2021
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