Individual provider · Type 1 NPI

Amanda Carlyle

Registered Nurse · Florissant, MO

NPI number 1104757780 Active

Practice location

917 N Highway 67 St Ste 104
Florissant, MO 63031-2939

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2023024911 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104757780

Amanda Carlyle's National Provider Identifier is 1104757780, issued on May 25, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Florissant, MO. The record was last updated on May 25, 2026.