Individual
MS. AMANDA KAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED RHEUMATOLOGY, SAINT LOUIS, MO 63110-1002
(314) 454-6124
(844) 616-1418
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-6124
(844) 616-1418
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2018032288
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420111788
—
MO
Enumeration date
04/24/2022
Last updated
04/10/2024
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