Provider Demographics
NPI:1356783336
Name:ST. PETER, AMY CHERYE (ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CHERYE
Last Name:ST. PETER
Suffix:
Gender:
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4474 NW NORTH MACEDO BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1357
Mailing Address - Country:US
Mailing Address - Phone:734-377-9007
Mailing Address - Fax:772-251-1999
Practice Address - Street 1:4474 NW NORTH MACEDO BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1357
Practice Address - Country:US
Practice Address - Phone:734-377-9007
Practice Address - Fax:772-251-1999
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704270774363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health