IndividualActive
Amanda Gonzales, FNP-BC
NPI 1649777848 · Nurse Practitioner · Lake Saint Louis, MO
Provider details
- NPI number
- 1649777848
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2018012287 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6261 Ronald Reagan Dr Ste B19
Lake Saint Louis, MO 63367-2665
Phone: (636) 561-3021
Fax: (636) 561-3022
Approximate (ZIP-level) locationGet directions
Mailing address
660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.