IndividualActive
Amanda Wagner, FNP
NPI 1447841879 · Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1447841879
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2021002285 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8670 Big Bend Blvd Ste a
Saint Louis, MO 63119-3839
Phone: (314) 447-1900
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Additional practice locations (2)
- 1011 Bowles Ave Ste 300Fenton, MO 63026-2387Phone: (636) 496-5030
- 1015 Bowles AveFenton, MO 63026-2394Phone: (636) 208-3807
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.