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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

XANDRA MICHELLE BAZAR AMISTAD, BSN, MSN, PMHNP-BC

Active Sole Proprietor

XANDRA MICHELLE BAZAR AMISTAD, BSN, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in COLUMBIA, Missouri. NPI 1629963665 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · COLUMBIA, MO

Registration Details

NPI Number
1629963665
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2025 (1.1753279657692 yrs)
Last Updated
Aug 15, 2025
License
2025020595 (MO)
Sole Proprietor
Yes

Practice Information

Address
1201 INTERNATIONAL DR
COLUMBIA, MO, 652021612
Browse MO providers · Browse ZIP 65202
Phone
5736157188

Other Psychiatric/Mental Health Nurse Practitioner Providers in COLUMBIA, MO

Name Credential NPI
MARSHA KEMPF APRN 1255332425
ANDREA EARLYWINE APN 1679778617
MRS. MELISSA DEANNE PRINCIVALLI PMHNP 1124219100
MELISSA K BELLES PMHNP 1356697114
FATTEN K ELKOMY DNS, FMHNP-BC 1316388754
LAURA D BREITZIG MSN, FPMHNP, PMH-C 1326438961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.