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Amanda J Ben

Nurse Practitioner, Family in Saint Charles, MO. Individual provider (NPI-1).

NPI number1164049698
StatusActive
Last updated in NPPESJun 30, 2020

Details

NPI
1164049698
Entity type
Individual (NPI-1)
Name
Amanda J Ben
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2020
Certification date
Jun 30, 2020
Last updated
Jun 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2020003743MOYes

Practice location

23 Terre Verte Ct
Saint Charles, MO 63304-1217

Phone 716-228-0524

Mailing address

23 Terre Verte Ct
Saint Charles, MO 63304-1217

Phone 716-228-0524

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