Individual
MRS. AMANDA LYNNE MUNDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8200 W 71ST ST, SHAWNEE MISSION, KS 66204-1715
(913) 549-9970
Mailing address
14617 S BROUGHAM DR, OLATHE, KS 66062-2530
(913) 209-2725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015005058
MO
363LF0000X
Family Nurse Practitioner
Primary
76701
KS
Other
Enumeration date
04/09/2015
Last updated
10/07/2019
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