Individual
MRS. AMANDA MACKENZIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
315 SW 5TH ST, BLUE SPRINGS, MO 64014-3007
(816) 377-8277
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202001453
MO
163WP0200X
Pediatric Registered Nurse
Primary
202001453
MO
Other
Enumeration date
06/24/2021
Last updated
02/24/2025
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