Provider Demographics
NPI:1093113284
Name:MORIO, AMY BETH (NP-C)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:BETH
Last Name:MORIO
Suffix:
Gender:F
Credentials:NP-C
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Mailing Address - Street 1:675 OLD BALLAS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7083
Mailing Address - Country:US
Mailing Address - Phone:314-994-9355
Mailing Address - Fax:314-994-0796
Practice Address - Street 1:675 OLD BALLAS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7083
Practice Address - Country:US
Practice Address - Phone:314-994-9355
Practice Address - Fax:314-994-0796
Is Sole Proprietor?:No
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2014012215363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health