Healthcare Provider Details

I. General information

NPI: 1760325930
Provider Name (Legal Business Name): A-Z ADVANCED NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14335 JAMESTOWN RD
BREESE IL
62230-3681
US

IV. Provider business mailing address

PO BOX 1175
O FALLON IL
62269-8175
US

V. Phone/Fax

Practice location:
  • Phone: 618-444-7231
  • Fax: 636-333-4510
Mailing address:
  • Phone: 618-444-7231
  • Fax: 636-333-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMBER PENDEGRAFT
Title or Position: OWNER, APN
Credential: NP
Phone: 618-444-7231