Individual provider · NPI-1

Amanda Bahr

Registered Nurse, General Practice · Saint Louis, MO

NPI number1760240642
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1760240642
Entity type
Individual (NPI-1)
Name
Amanda Bahr
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 6, 2024
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice2016026023NEYes

Practice location

3615 Olive St
Saint Louis, MO 63108-3604

Phone 314-289-6540

Mailing address

3615 Olive St
Saint Louis, MO 63108-3604

Phone 314-289-6540

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