Wilson, Amanda Sue

Wilson, Amanda Sue is an individual health care provider with primary practice located at 2820 E Rock Haven Rd Ste. 100, Harrisonville MO 64701-4411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Amanda Sue can be contacted via phone (816) 380-3582.

Contact Information

Primary practice address
2820 E Rock Haven Rd Ste. 100 Harrisonville MO 64701-4411
Phone: (816) 380-3582
Fax: (816) 380-6964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2012033367 Missouri

Profile Details

NPI number 1356692701
LBN Legal business name Wilson, Amanda Sue
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Apr 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356692701 NPPES
Missouri MEDICAID 1356692701

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