MISS Amanda Nicole Breedlove, PNP

NPI #1235486952 in Fenton, Missouri

Provider Information

NPI Number
1235486952
Entity Type
Individual
Name
MISS Amanda Nicole Breedlove, PNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
PNP
Enumeration Date
Aug 13, 2012
Last Updated
Feb 28, 2013

Practice Location

Address
1203 SMIZER MILL RD
Address 2
SUITE 100
City
Fenton
ZIP Code
63026-3483
Phone
(636) 717-1414

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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