Individual
AMANDA N VENTIMIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1225 GRAHAM RD STE C-2310, FLORISSANT, MO 63031-8023
(314) 953-6300
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(314) 953-6300
(314) 953-6309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013006311
MO
363LF0000X
Family Nurse Practitioner
2013006311
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013006311
STATE OF MISSOURI
MO
Enumeration date
03/18/2013
Last updated
09/17/2025
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