AMY ELIZABETH LONG

SAINT LOUIS, MO
NPI1518208107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2006005978)
Enumeration Date2013-03-07
Last Update Date2020-11-09
Business Address
Mrs. AMY ELIZABETH LONG PNP
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6022
Mailing Address
Mrs. AMY ELIZABETH LONG PNP
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone number: 314-577-5666