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Individual

AMANDA ELAINE BADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
741 S WALNUT ST, BERNIE, MO 63822-8900
(573) 293-6836
(573) 293-6838
Mailing address
420 SEMO DR, P.O. BOX 400, NEW MADRID, MO 63869-1734
(573) 748-2404
(573) 748-8929

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012022612
MO

Other

Enumeration date
07/09/2012
Last updated
11/17/2014
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