Thompson, Amanda Kay

Thompson, Amanda Kay is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Rheumatology, 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. Thompson, Amanda Kay can be contacted via phone (314) 454-6124.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Rheumatology Saint Louis MO 63110-1002
Phone: (314) 454-6124
Fax: (844) 616-1418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2018032288 Missouri

Profile Details

NPI number 1689318875
LBN Legal business name Thompson, Amanda Kay
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2022
Last updated Apr 10th, 2024 - about 2 years ago

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 1689318875 NPPES
Missouri MEDICAID 420111788

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