Provider Demographics
NPI:1912361411
Name:SCHMITT, AMANDA S (ACNP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:S
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
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Mailing Address - Street 1:12855 N 40 DR STE 375
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8657
Mailing Address - Country:US
Mailing Address - Phone:314-567-6071
Mailing Address - Fax:314-362-1185
Practice Address - Street 1:3 SAINT ELIZABETH BLVD STE 3200
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1281
Practice Address - Country:US
Practice Address - Phone:618-489-8030
Practice Address - Fax:618-589-3518
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2023-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL209014313363L00000X
MO20130000056363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner