Individual
AMANDA NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110
(314) 273-1292
Mailing address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 504-7870
(314) 362-4351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017024402
MO
Other
Enumeration date
07/27/2017
Last updated
05/17/2018
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