Provider Demographics
NPI:1477748309
Name:STOWERS, AMY M (RNFA, BSN, CNOR)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:STOWERS
Suffix:
Gender:F
Credentials:RNFA, BSN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 JAMES CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-4217
Mailing Address - Country:US
Mailing Address - Phone:314-323-9084
Mailing Address - Fax:
Practice Address - Street 1:2805 JAMES CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-4217
Practice Address - Country:US
Practice Address - Phone:314-323-9084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO148877163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant