Individual
MRS. AMANDA SUE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8164
(660) 885-2393
Mailing address
203 N GRAHAM ST, LEETON, MO 64761-9122
(660) 525-5972
(660) 855-2393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118540
MO
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
118540
MO
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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