Provider Demographics
NPI:1053822254
Name:MCALISTER, AMY ELIZABETH (PNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:MCALISTER
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Gender:F
Credentials:PNP
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Mailing Address - Street 1:12255 DEPAUL DRIVE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-209-5222
Mailing Address - Fax:314-209-5224
Practice Address - Street 1:12255 DEPAUL DRIVE
Practice Address - Street 2:SUITE 370
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-209-5222
Practice Address - Fax:314-092-5224
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2020-11-02
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Provider Licenses
StateLicense IDTaxonomies
MO2000162316363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics