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Amanda Bertholomey
Family Nurse Practitioner in Ballwin, Missouri
NPI 1871103093

Amanda Bertholomey is a Family Nurse Practitioner based in Robertsville, MO and is specialized in Family. Amanda Bertholomey practices in Ballwin, MO. The NPI Number for Amanda Bertholomey is 1871103093 and holds a License No. 2020026219 (Missouri).

The current practice location address for Amanda Bertholomey is 452 Sovereign Ct, Ballwin, MO and can be reached out via phone at 636-222-8699.

Location: 452 Sovereign Ct, Ballwin, MO, 63072-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871103093
Provider Name
Amanda Bertholomey
Credential
Provider Entity Type
Individual
Gender
Female
Address
452 Sovereign Ct, Ballwin, MO, 63072-2018
Phone Number
636-222-8699
Fax Number
Provider Enumeration Date
08/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
452 Sovereign Ct
City
Ballwin
State
Missouri
Zip
63011-4447
Phone Number
636-222-8699
Fax Number
person
Provider Business Mailing Address Details
Address
452 Sovereign Ct
City
Ballwin
State
Missouri
Zip
63011-4447
Phone Number
636-222-8699
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2020026219 (Missouri)
Definition
Definition to come...
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