IndividualActive
Amanda Garth, NP-C
NPI 1710401641 · Family Nurse Practitioner · Lake St Louis, MO
Provider details
- NPI number
- 1710401641
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2017023148 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 Medical Plz Ste 200
Lake St Louis, MO 63367-1417
Phone: (636) 625-2662
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 955534
Saint Louis, MO 63195-5534
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2022-07-21
- Certified
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.