Provider Demographics
NPI:1336491562
Name:AMES, MEGHAN SUZANNE (RN, PPCNP-BC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:SUZANNE
Last Name:AMES
Suffix:
Gender:F
Credentials:RN, PPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10459 STATE HIGHWAY M
Mailing Address - Street 2:
Mailing Address - City:WRIGHT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63390-5430
Mailing Address - Country:US
Mailing Address - Phone:314-707-4670
Mailing Address - Fax:
Practice Address - Street 1:1413 WENTZVILLE PKWY
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3407
Practice Address - Country:US
Practice Address - Phone:636-332-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009038221363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics