IndividualActive
Amanda Botkin, ANP
NPI 1922381383 · Adult Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1922381383
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 2011028684 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3023 N Ballas Rd
Ste 450 Bldg D
Saint Louis, MO 63131-2330
Phone: (314) 996-6065
Fax: (314) 996-6074
Approximate (ZIP-level) locationGet directions
Mailing address
4921 Parkview Pl
Saint Louis, MO 63110-1032
Registry dates
- Enumerated
- 2011-09-22
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.