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

Amanda Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578140489

Amanda Clark is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone: (314) 977-9870
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578140489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 24, 2021

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