# AMANDA C KLEESE

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

## Provider details

- **NPI number:** 1659364776
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | C103068 | IA | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 05/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0430876 | — | IA |
| 01 | — | 36094 | WELLMARK BCBS | IA |