Clark, Amie Melissa

Clark, Amie Melissa is an individual health care provider with primary practice located at 13515 Barrett Parkway Dr Suite 170, Ballwin MO 63021-5870. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Clark, Amie Melissa can be contacted via phone (314) 775-2811.

Contact Information

Primary practice address
13515 Barrett Parkway Dr Suite 170 Ballwin MO 63021-5870
Phone: (314) 775-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.389801 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 086232 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2016017057 Missouri

Profile Details

NPI number 1053617589
LBN Legal business name Clark, Amie Melissa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated Apr 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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