Provider Demographics
NPI:1295110229
Name:SEIPEL, AMY ELIZABETH (AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:SEIPEL
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 N NEW BALLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6848
Mailing Address - Country:US
Mailing Address - Phone:314-266-2066
Mailing Address - Fax:314-266-2069
Practice Address - Street 1:425 N NEW BALLAS RD STE 230
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6848
Practice Address - Country:US
Practice Address - Phone:314-266-2066
Practice Address - Fax:314-266-2069
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014027285207X00000X, 363L00000X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology