Individual
AMANDA LOUISE CREAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Mailing address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016042432
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023017843
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420040547
—
MO
Enumeration date
02/16/2017
Last updated
08/15/2024
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