Provider Demographics
NPI:1639311483
Name:SCHLUETER, AMY L (RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SCHLUETER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 BAXTER RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1422
Mailing Address - Country:US
Mailing Address - Phone:636-537-0122
Mailing Address - Fax:636-537-0480
Practice Address - Street 1:17050 BAXTER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1422
Practice Address - Country:US
Practice Address - Phone:636-537-0122
Practice Address - Fax:636-537-0480
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001018418163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care