Individual
AMANDA FRIDLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-1660
Mailing address
2390 OAK ST #305, KANSAS CITY, MO 64108
(816) 510-1190
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2003004473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100454030A
—
KS
05
—
428972707
—
MO
Enumeration date
05/03/2006
Last updated
06/29/2011
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