Stay informed about Coronavirus (COVID-19)

At Advanced Pain Management, the health and safety of our patients and staff is our number one priority, and we’re taking the prevention and treatment of Coronavirus (COVID-19) seriously. In this ever-changing environment and after closing for the safety of our patients and staff, we are in the process of reopening some of our Ambulatory Surgery Centers (ASCs) and outpatient clinics. Patients with upcoming appointments or surgeries have been contacted. We continue to offer virtual telemedicine appointments to our patients.
For more information on important updates and open facilities, please click FAQ’s below.

Patients should call the APM CARES line at (844) 354-7246  for prescription refill requests or any other questions.

Healthcare Professionals
Alexandra Gral, APNP

Alexandra Gral, APNP, is originally from Milwaukee, Wisconsin. She moved to St. Louis, Missouri to pursue a career in nursing, and received her bachelor's degree from St. Louis University. Alexandra started her career at a level one trauma and certified stroke center hospital in the trauma and surgery floor, and transferred to trauma and Neuro ICU. After deciding to pursue a master's degree in nursing, family nurse practitioner, at Maryville University in St. Louis, Alexandra accepted a bedside nursing position on the float pool, working in ICU, transitional care, and the cardiac floor. Alexandra's interest in pain management stemmed from working in trauma, where she began to assess a patient's pain and how to properly manage that pain with different medications and modalities.

"I strive to provide holistic, compassionate care to those in need while collaborating on a multidisciplinary team with the common goal of attaining and preserving a sense of well-being."
• Certified Family Nurse Practitioner
• Registered Nurse
• Bachelor of Science in Nursing - St. Louis University, St. Louis, Missouri
• Master of Science in Nursing, Family Nurse Practitioner - Maryville University, St. Louis, Missouri
• English
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