Individual
AMANDA LYNETTE FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1415 CHAMBERS DR, O FALLON, MO 63366-3476
(636) 578-0890
Mailing address
1415 CHAMBERS DR, O FALLON, MO 63366-3476
(636) 578-0890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018006304
MO
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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