Individual
AMANDA MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 E 126TH ST, OLATHE, KS 66061-6725
(913) 522-1334
Mailing address
1220 E 126TH ST, OLATHE, KS 66061-6725
(913) 522-1334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-129504-071
KS
163W00000X
Registered Nurse
Primary
2011018492
MO
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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