Individual
MS. AMANDA SUE HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
722 W 8TH ST, WASHINGTON, MO 63090-2014
(636) 390-3147
Mailing address
722 W 8TH ST, WASHINGTON, MO 63090-2014
(636) 390-3147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2010026695
MO
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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