Molitor, Amanda Lee

Molitor, Amanda Lee is an individual health care provider with primary practice located at 3015 N Ballas Rd Div Surg Accs, Saint Louis MO 63131-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Molitor, Amanda Lee can be contacted via phone (314) 362-5298.

Contact Information

Primary practice address
3015 N Ballas Rd Div Surg Accs Saint Louis MO 63131-2329
Phone: (314) 362-5298
Fax: (888) 824-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2015008335 Missouri

Profile Details

NPI number 1689061285
LBN Legal business name Molitor, Amanda Lee
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated May 6th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689061285 NPPES
Missouri MEDICAID 420026437

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