Individual provider · Type 1 NPI

Amber Renee Stallard, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1578701546 Active

Practice location

1 Childrens Pl, Div Ped Emergency Med
St. Louis, MO 63110-1002

Fax (314) 454-4345

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2020009687 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1578701546

Amber Renee Stallard, PNP's National Provider Identifier is 1578701546, issued on Jan 29, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.