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Contact Information

AMY R BOHM, PNP
1520 WENTZVILLE PKWY
WENTZVILLE, MO63385-3408
 Phone: 636-497-4055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY R BOHM · (Female)

NPI # 1326426560
Status Active
Credentials PNP
Entity Individual
Enumeration date 05/08/2015
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2016033617
  • MO Medicaid 420039759
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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