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Individual

AMY L DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-7014
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-7014

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017023147
MO
363LA2200X
Adult Health Nurse Practitioner
2009015568
MO
363LG0600X
Gerontology Nurse Practitioner
2009015568
MO

Other

Enumeration date
08/03/2017
Last updated
08/14/2023
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