person
Miss Amanda Nicole Breedlove, PNP
Pediatric Nurse Practitioner in Fenton, Missouri
NPI 1235486952

Amanda Nicole Breedlove is a Pediatric Nurse Practitioner based in Fenton, MO and is specialized in Pediatrics. Amanda Nicole Breedlove practices in Fenton, MO and has the professional credentials of PNP. The NPI Number for Amanda Nicole Breedlove is 1235486952 and holds a License No. 2012026927 (Missouri).

The current practice location address for Amanda Nicole Breedlove is 1203 Smizer Mill Rd, Fenton, MO and can be reached out via phone at 636-717-1414.

Location: 1203 Smizer Mill Rd, Fenton, MO, 63026-3483
person
Provider Profile Details
NPI Number
1235486952
Provider Name
Amanda Nicole Breedlove
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1203 Smizer Mill Rd, Fenton, MO, 63026-3483
Phone Number
636-717-1414
Fax Number
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1203 Smizer Mill Rd
City
State
Zip
63026-3483
Phone Number
636-717-1414
Fax Number
person
Provider Business Mailing Address Details
Address
1203 Smizer Mill Rd
City
State
Zip
63026-3483
Phone Number
636-717-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2012026927 (Missouri)
Definition
Definition to come...
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