Individual
AMY E COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 S. GRAND, DOOR 3, ST. LOUIS, MO 63104-6310
(314) 977-5110
Mailing address
1945 CHEROKEE TRAIL LN, FLORISSANT, MO 63031-7426
(618) 581-3093
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017038958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017038958
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
11/05/2017
Last updated
09/12/2025
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