| Miss Amanda Nicole Breedlove, PNP | |
|
1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 | |
| (636) 717-1414 | |
| Not Available |
| Full Name | Miss Amanda Nicole Breedlove |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1203 Smizer Mill Rd, Fenton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235486952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 2012026927 (Missouri) | Primary |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Entity Name | Mercy Aco Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amanda Nicole Breedlove, PNP 1203 Smizer Mill Rd, Fenton, MO 63026-3483 Ph: (636) 717-1414 | Miss Amanda Nicole Breedlove, PNP 1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 Ph: (636) 717-1414 |
Ms. Lita Lapins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-238-9100 Fax: 314-238-9110 | |
Laura Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 200, Fenton, MO 63026 Phone: 636-496-3900 | |
Rebecca Theresa Medlock, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Marco Valley Ct, Fenton, MO 63026 Phone: 314-413-2187 | |
Allison Kate Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Fenton, MO 63026 Phone: 314-200-2713 | |
Brooke Salas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026 Phone: 636-343-5223 | |
Mrs. Cynthia Visintine, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022 | |
Elizabeth Shipp, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023 |