Amanda Diercks
N.P. | Nurse Practitioner
5347 Glencullen Way, Saint Louis
Missouri, 63128-4229
314-488-4289
Amanda Diercks is a Saint Louis, Missouri based nurse practitioner. Active license number of Amanda Diercks is 2015039589 in Missouri. Her current practice location is 5347 Glencullen Way, Saint Louis. Patients can reach her at 314-488-4289. Amanda Diercks is N.P. and her NPI number (Unique professional ID assigned by NPPES) is 1679946156.
Amanda Diercks has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Amanda Diercks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Amanda Diercks |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Practice Address: | 5347 Glencullen Way, Saint Louis,
Missouri, 63128-4229 |
| Phone: | 314-488-4289 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679946156 |
| NPI Enumeration Date: | 05 Nov, 2015 |
| NPI Last Update On: | 05 Nov, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda Diercks are as mentioned below.
| License Number | Specialization | State | Status | |
| 2015039589 | | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Amanda Diercks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2015039589 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Amanda Diercks
5347 Glencullen Way,
Saint Louis, Missouri |
| Zip: | 63128-4229 |
| Phone Number: | 314-488-4289 |
Patients can reach Amanda Diercks at
5347 Glencullen Way, Saint Louis, Missouri or can
call to book an appointment on 314-488-4289.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.