IndividualActive
Amanda O'Connor, CPNP-PC
NPI 1063899441 · Pediatric Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1063899441
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2015012085 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4400 Clayton Ave
Saint Louis, MO 63110-1624
Phone: (314) 432-3600
Approximate (ZIP-level) locationGet directions
Mailing address
4400 Clayton Ave
Saint Louis, MO 63110-1624
Additional practice locations (1)
- 2001 S Lindbergh BlvdSaint Louis, MO 63131-3504Phone: (314) 432-3600
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.