Individual provider · Type 1 NPI

Amanda L. Smith, FNP

Primary Care Nurse Practitioner · St. Louis, MO

NPI number 1417860198 Active

Practice location

12680 Olive Blvd
St. Louis, MO 63141-6289

Mailing address

8 Fair Isle Ct
Ellisville, MO 63021-4514

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X2026040393 (MO)

Primary Care Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1417860198

Amanda L. Smith, FNP's National Provider Identifier is 1417860198, issued on Sep 24, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in St. Louis, MO. The record was last updated on Sep 24, 2026.