Individual
AMANDA MICHELLE BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 PASEO BLVD, KANSAS CITY, MO 64106-3433
(314) 269-4656
Mailing address
1312 PASEO BLVD, KANSAS CITY, MO 64106-3433
(314) 269-4656
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2024043513
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2024043513
MO
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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