IndividualActive
Amy Moran, AGPCNP-BC
NPI 1114391067 · Adult Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1114391067
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2015040100 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
Approximate (ZIP-level) locationGet directions
Mailing address
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Registry dates
- Enumerated
- 2015-11-16
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.