Amanda Diercks, N.P.

Nurse Practitioner · Saint Louis, MO

Individual Active NPI

NPI number 1679946156

Practice location

5347 Glencullen Way
Saint Louis, MO 63128-4229
Phone
(314) 488-4289

Open in Google Maps

NPI record

NPI
1679946156
Entity type
Individual (Type 1)
Enumeration date
November 5, 2015
Last updated
November 5, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2015039589 MO

About Amanda Diercks

Amanda Diercks, N.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 5347 Glencullen Way, Saint Louis, MO 63128-4229. The NPI number 1679946156 was assigned on November 5, 2015 and the record was last updated on November 5, 2015.

Amanda Diercks lists a license in the registry: #2015039589 (MO) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Diercks, N.P.?

The NPI number is 1679946156.

What is the phone number of Amanda Diercks?

The phone number listed for the practice location is (314) 488-4289.

Where is Amanda Diercks located?

5347 Glencullen Way, Saint Louis, MO 63128-4229.

What is the taxonomy code for Amanda Diercks?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Saint Louis

All Nurse Practitioner providers in Saint Louis, MO →