Stallard, Amber Renee

Stallard, Amber Renee is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Emergency Med, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Stallard, Amber Renee can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Emergency Med Saint Louis MO 63110-1002
Phone: (314) 454-2341
Fax: (314) 454-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2020009687 Missouri

Profile Details

NPI number 1578701546
LBN Legal business name Stallard, Amber Renee
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Apr 17th, 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 1578701546 NPPES
Missouri MEDICAID 420056518

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