Individual
AMANDA RENEE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
905 HIGHWAY 161, BOWLING GREEN, MO 63334-2431
(573) 324-3333
Mailing address
PO BOX 25, NEW MELLE, MO 63365-0025
(636) 463-3277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025028303
MO
Other
Enumeration date
07/31/2025
Last updated
08/14/2025
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