Individual provider · Type 1 NPI

Amanda Garth, NP-C

Family Nurse Practitioner · Lake St. Louis, MO

NPI number 1710401641 Active

Practice location

400 Medical Plz Ste 200
Lake St. Louis, MO 63367-1417

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2017023148 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1710401641

Amanda Garth, NP-C's National Provider Identifier is 1710401641, issued on Aug 2, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 21, 2022.