Provider Demographics
NPI:1467820746
Name:SCHMITT, AMANDA LEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:LEE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:340 OXFORD ST
Mailing Address - Street 2:C B 8233
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-1965
Mailing Address - Country:US
Mailing Address - Phone:314-514-3500
Mailing Address - Fax:314-747-2598
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:STE 6A/6B/12A
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-747-2500
Practice Address - Fax:314-747-2598
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2017-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MORN430158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily