Individual provider · Type 1 NPI

Amanda B. Gordon, FNP

Nurse Practitioner · St. Louis, MO

NPI number 1780103143 Active

Practice location

30 Ronnies Plz
St. Louis, MO 63126-3552

Call (314) 989-6807 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

1718 Catlin Dr, Barnhart, MO 63012-1277 · (844) 766-7200
1821 S Stoughton Rd, Madison, WI 53716-2257 · (314) 989-6807

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	14987 (WI)
Family Nurse Practitioner	363LF0000X	2017007862 (MO)
Nurse Practitioner Primary	363L00000X	2017007862 (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 1780103143

Amanda B. Gordon, FNP's National Provider Identifier is 1780103143, issued on Sep 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 6, 2024.