Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Bertholomey

Individual provider Family Nurse Practitioner · NPI 1871103093

Amanda Bertholomey is a Family Nurse Practitioner in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
Specialties on file
2

Practice location Address checks out

452 Sovereign Ct
Ballwin, MO 63011-4447
Phone: (636) 222-8699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2014018635 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2020026219 (MO)

Record details

NPI number1871103093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address215 Cedar Mountain Dr, Robertsville, MO 63072-2018

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