Individual
MRS. AMANDA KAY NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
172 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 462-6106
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
(636) 498-5973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016034930
MO
Other
Enumeration date
12/09/2016
Last updated
06/06/2022
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