Individual provider · Type 1 NPI
Amy Guan, MS, APN
Gerontology Nurse Practitioner · St. Louis, MO
NPI number
1801398813
Active
Practice location
12348 Old Tesson Rd Ste 250
St. Louis, MO 63128-2261
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209016579 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 2023014672 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2023012036 (MO) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1801398813
Amy Guan, MS, APN's National Provider Identifier is 1801398813, issued on Mar 6, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Sep 11, 2023.