Individual
AMANDA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
6227 WYOMING ST, SAINT LOUIS, MO 63139-2321
(618) 830-6920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012111
IL
Other
Enumeration date
10/28/2014
Last updated
02/18/2022
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