# AMOS N MACHARIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457983785
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2020002316 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2020002316 | MO | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 03/02/2021