Search › Missouri › 363L00000X
Amanda Wagner, FNP
NPI 1447841879 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8670 Big Bend Blvd Ste A
Saint Louis, MO 63119 - Phone
- (314) 447-1900
- Clinicians at this address
- 7
Additional practice sites
- 1015 Bowles Ave, Fenton, MO
- 1011 Bowles Ave Ste 300, Fenton, MO
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri