Individual provider · Type 1 NPI
Amanda Diercks, N.P.
Nurse Practitioner · St. Louis, MO
Practice location
5347 Glencullen Way
St. Louis, MO 63128-4229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2015039589 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1679946156
Amanda Diercks, N.P.'s National Provider Identifier is 1679946156, issued on Nov 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 5, 2015.