Individual
MRS. AMANDA RENEE LANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1504 N BUSINESS 49, NEOSHO, MO 64850-6883
(417) 451-4447
(417) 451-4448
Mailing address
PO BOX 758, NEOSHO, MO 64850-0758
(417) 451-4447
(417) 451-4448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000160988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245470624
—
MO
05
—
200612640B
—
KS
Enumeration date
02/25/2009
Last updated
03/28/2023
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