IndividualActive
Amanda Pickett
NPI 1396480497 · Licensed Practical Nurse · Ballwin, MO
Provider details
- NPI number
- 1396480497
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2002025435 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
40 Meramec Trail Dr
Ballwin, MO 63021-3331
Phone: (636) 923-2361
Approximate (ZIP-level) locationGet directions
Mailing address
40 Meramec Trail Dr
Ballwin, MO 63021-3331
Registry dates
- Enumerated
- 2022-05-03
- Last updated
- 2022-05-03
- Certified
- 2022-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.