IndividualActive
Amanda Breedlove, PNP
NPI 1235486952 · Pediatric Nurse Practitioner · Fenton, MO
Provider details
- NPI number
- 1235486952
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2012026927 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1203 Smizer Mill Rd
Suite 100
Fenton, MO 63026-3483
Phone: (636) 717-1414
Approximate (ZIP-level) locationGet directions
Mailing address
1203 Smizer Mill Rd
Fenton, MO 63026-3483
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.