Provider Demographics
NPI:1689738569
Name:CARAMANNA, AUDREY JEAN (NP)
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:JEAN
Last Name:CARAMANNA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1307 GLENDALE GARDENS DR
Mailing Address - Street 2:APT C
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3156
Mailing Address - Country:US
Mailing Address - Phone:314-965-8703
Mailing Address - Fax:
Practice Address - Street 1:3535 S JEFFERSON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3930
Practice Address - Country:US
Practice Address - Phone:314-776-7999
Practice Address - Fax:314-772-2257
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO066834363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner