Individual
AMY DIANE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1301 SW ARBORWALK BLVD STE A, LEES SUMMIT, MO 64082-4101
(816) 537-6232
(816) 537-9161
Mailing address
1301 SW ARBORWALK BLVD # A, LEES SUMMIT, MO 64082-4101
(816) 537-6232
(816) 537-9161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016005843
MO
363LF0000X
Family Nurse Practitioner
2016005843
MO
Other
Enumeration date
02/25/2016
Last updated
01/28/2022
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