NPI 1326426560 · live from the CMS NPI Registry
Amy R Bohm, PNP
Nurse Practitioner, Pediatrics in Wentzville, MO. National Provider Identifier 1326426560, active.
NPI record
| NPI | 1326426560 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1520 Wentzville Pkwy, Wentzville, MO 63385 |
| Practice phone | 636-497-4055 |
| Mailing address | Po Box 7412011, Chicago, IL 60674 |
| Enumerated | May 8, 2015 |
| Last updated | September 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2016033617 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.