Individual
AMY LALLATHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
448 STATE HIGHWAY 248 STE 120, BRANSON, MO 65616-3725
(417) 337-5000
Mailing address
448 STATE HIGHWAY 248 STE 120, BRANSON, MO 65616-3725
(417) 337-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014002993
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2018040401
MO
Other
Enumeration date
10/18/2018
Last updated
11/07/2018
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