Individual
AMANDA BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
1 JEFFERSON BARRACKS DRIVE, BUILDING 52, 2N65, SAINT LOUIS, MO 63125
(314) 901-2328
Mailing address
607 WALLER AVE, SAINT LOUIS, MO 63125-1512
(314) 780-5823
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
2014004805
MO
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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